• Title/Summary/Keyword: 질 평가 도구

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The Effects of Mental Health on the Quality of Life After Stroke (뇌졸중 후 정신건강이 삶의 질에 미치는 영향)

  • Kim, Hyeong-Min;Shim, Min-Kyu
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.237-244
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    • 2015
  • The purposes of this study are to examine the correlations among mental health and quality of life in stroke patients and find the factors affecting quality of life. The participants were 224 inpatients diagnosed with stroke. The Stroke Specific Quality of Life(SS-QOL) was used for measuring Quality of life and the Symptom Check-List-90-Revised(SCL-90-R) was utilized to measure mental health. The relationships among the variables were examined with Pearson correlation coefficients. And the simple regression analysis and stepwise multiple regression analysis were performed to identify the predictive variables that explain changes of quality of life. There were statistically significant correlations between quality of life and mental health. Mental health was identified as a factor that explains 28% of change in quality of life. And depression was identified as a factor that explains 42% of change in quality of life. The quality of life in stroke patients, the depression was negatively related with it. When working with a stroke patient, an occupational therapist needs to address mental health aspects from the beginning of the rehabilitation process for a holistic approach and optimal outcome.

A Study on Oral Health Related Quality of Life in Elders Concerning to Residence at Urban and Rural (도시농촌 노인의 구강건강과 삶의 질에 관한 연구)

  • Yoon, Young-Suk
    • Journal of dental hygiene science
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    • v.6 no.1
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    • pp.23-28
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    • 2006
  • This study was conducted to investigate the oral health related quality of life in elders concerning to residence at urban and rural. The subjects were 215 old persons who were over the 60 years old, living at Sahagu in Busan(113persons) and Geojer Si in Kyungnam (102persons). The data for this study were collected by direct interviewing method from May 30 th to June 30 th and September 12 th, 2005. Cushing & Sheiham's Sociodental Scale which measures oral health related quality of life was used for this study. The data were analysed by a computerized program named statistical package for social science including frequency, percentage, t-test. The results of this study were summarized as follows; 1. Mean score of the oral health related quality of life in elders is $2.42{\pm}1.03$ 2. There was a significant difference in oral health related quality of life in elders between the age 60 ~ 70 years group and the over than 71 years group(P < 0.01). 3. There was a significant difference in oral health related quality of life in elders between the urban and rural group(P < 0.05). Above findings suggest that further study about proper program for geriatric oral health evaluation is necessary in improving the oral health related quality of life in elders.

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Development of Workplace Bullying in Nursing-Consequence Inventory (WPBN-CI) (간호사가 경험하는 직장 내 괴롭힘 결과 측정도구 개발)

  • Lee, Younju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.479-488
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    • 2016
  • This study developed an instrument to assess the effects of the bullying of nurses in the workplace and evaluated the developed instrument. A literature review and a field study were conducted to identify the concepts related to the bullying of nurses in the workplace. These attributes served as building blocks to produce a 28-item WPBN-CI. The content validity was used to determine the content and face validities, and the number of instrument items was reduced to 14. The final WPBN-CI instrument was evaluated using the SPSS 18.0 program with the data collected from October 21-28, 2013 from 458 nurses from general hospitals in the metropolitan area. The WPBN-CI consisted of 13 items covering three distinct factors (physical and psychological withdrawal, poor quality of patient care, and increasing distrust), with a total variance of 62.9%. The convergent and determinant validities for the WPBN-CI were 100% and 89.7%, respectively. The known-groups validity was proven through the mean difference in the level of depression. The satisfied criterion validity for the WPBN-CI was more than 0.70. The reliability of the WPBN-CI was demonstrated by its Cronbach's ${\alpha}$ of 0.90. The WPBN-CI will identify in advance the results due to the bullying of nurses in the workplace and will help to find solutions to the problem and ensure program effectiveness.

Study on Developing Inventory of Students Satisfaction in University (대학교육 만족도 측정도구 개발에 관한 연구)

  • Song, Hong-Jun
    • The Journal of the Korea Contents Association
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    • v.16 no.8
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    • pp.556-567
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    • 2016
  • The aim of this study is to make an education satisfaction assessment tool in university. For this, the related study, researchers meeting were conducted and 20 university students were involved in checking items, and then inventory items were completed. The pilot test was conducted at university in Choongnam Province for EFA(Exploratory Factor Analysis by using outcome data. From them, 4 sub-areas and 12 factors were consisted. The 4 sub-areas are education method, education contents, education environment, and education outputs. The education method is composed of appropriateness and fairness of classroom activities, the education contents are composed of systemization of education contents, the diversity and quality of education contents, and the effectiveness of education contents. The education environment is configured as educational facilities and environment, educational supporting service and administrative services. For content validity, items which adapted over 0.90 S-CVI : Standard Content Validity Index. To 48 inventory items obtained proper contents validity and reliability, measurement of suitability of verification was conducted. Cronbach's ${\alpha}$ of reliability test has emerged as highly 0.987. In CFA(Complimentary Factor Analysis), CFGFI, CFL, TLI, RMSEA, NFI indexes show a good value, therefore, this assessment tool for educational satisfaction in university is suitable for measuring tool.

Education Policy of School Evaluation: A Comparative Case study in South Korea and Sweden (학교평가 정책: 한국과 스웨덴의 비교)

  • Jeong, Ji-Won
    • Korean Journal of Comparative Education
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    • v.23 no.5
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    • pp.19-52
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    • 2013
  • This study describes and compares the systems of school internal and external evaluation in South Korea and Sweden. Since education environment over the world has been changing commonly toward 'improving quality of schools' in 'decentralization of education', the more stress goes to 'education evaluation'. In this respect, school evaluation becomes a vital means to monitor schools and improve their weaknesses, as well as to enhance their strengths by informing the public of the results of evaluation. The research explores the systems of South Korean and Swedish school evaluation carried out by internal and external inspectors in order to compare the differences of two countries through qualitative methods by analyzing documents and articles related to school evaluation of two countries. Even though both South Korean and Swedish education have a 'school evaluation system as a unit', the approaches to it vary in accordance with the contexts of each country. In this regard, 'convergence' of having the same education policy of 'school evaluation' and 'divergence' of different approaches toward evaluation systems in each country have been examined in this study.

Development of Performance Evaluation Protocols for Physicians in a University Hospital (한 대학병원의 진료과별 업무성과 평가 도구 개발 과정)

  • Kim, Chang-Yup;Kim, Sunmean
    • Quality Improvement in Health Care
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    • v.5 no.2
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    • pp.296-310
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    • 1998
  • Background : Performance evaluation of medical care providers has become more important than before in Korea. Especially in university hospitals, job contents of medical staffs are so complicated that evaluation is not easily performed. In addition, in order that the feedback of evaluation be successful, acceptance of staffs to be evaluated is essential. This study is aimed at the development of items for evaluation and weighting of each item in one university hospital, and clustering departments by different weight given by medical staffs. Methods : Through resource group meeting. performance items were listed up by categories of education, research, medical services, and other activities in and out of the hospital. For each item, all the medical staffs were asked how important they thought, compared with publishing one original article. By factor analysis, the items in each category were grouped into a few subgroups. In turn, cluster analysis was done for the purpose of grouping departments by priority the medical staffs gave. Results and Conclusion : Among five major categories, medical staffs regard education, research, and medical services more important than other activities in and out of the hospital. Five categories consisted of two or three components. Departments in hospital were grouped into three. However, characteristics of each group was not clearly delineated. This result suggests that more comprehensive tool should be developed and applied in the process of performance evaluation in university hospitals.

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Development and Psychometric Evaluation of a Quality of Life Scale for Korean Patients with Cancer(C-QOL) (한국 암 특이형 삶의 질 측정도구(C-QOL) 개발 및 평가)

  • Lee, Eun-Hyun
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.324-333
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    • 2007
  • Purpose: The purpose of this study was to develop and evaluate a quality of life scale for Korean patients with cancer (C-QOL). Methods: The C-QOL was developed and validated as follows, item generation, pilot study, and psychometric tests. A total of 337 patients diagnosed with stomach, liver, lung, colon, breast, or cervix cancer were recruited. The patients were asked to complete the preliminary questionnaire comprising the content-validated items, the SF-36, and the ECOG performance status. The obtained data was analyzed using descriptive statistics, factor analysis, multidimensional scaling (MDS), multitrait/multi-item matrix, ANOVA, t-test, and Cronbach's alpha. Results: Preliminarily twenty-six items were generated through content validity and a pilot study. Factor analysis and MDS extracted a total of 21 items with a 5-point Likert-type scale (C-QOL). The C-QOL included five subscales: physical status (6 items), emotional status (6 items), social function (3 items), concern status (2 items), and coping function (4 items). The C-QOL established content validity, construct validity, item convergent and discriminant validity, known-groups validity, reliability, and sensitivity. Conclusion: The Newly developed C-QOL is an easily applicable instrument which established psychometric properties and reflected Korean culture. It is recommended for further study to examine the responsiveness of the C-QOL using a longitudinal research design.

Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument (한국형 노인요양시설 질 관찰평가도구의 타당도와 신뢰도 분석)

  • Lee, Ji-A
    • Journal of Korean Academy of Nursing
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    • v.38 no.3
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    • pp.474-482
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    • 2008
  • Purpose: The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz's Observable Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes. Methods: The study employed a three-phase methodological research design. 1) The original instrument of Rantz's. ONHQ was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested.in 98 nursing homes. Results: Seven factors were extracted through factor analysis: 'communication', 'care delivery', 'grooming', 'odor, 'environment-basics', 'environment-access', and 'environment-homelike'. These factors explained 86.07% of the total variance. Cronbach's alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range of quality level. Conclusion: The Korean version of the ONHQ was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.

Mediating effect of perceived stigma against epilepsy on quality of life among parents with epileptic child (간질아동 부모의 삶의 질에 대한 지각된 낙인의 매개효과)

  • Kim, Nho Eun;Cho, Sung Min;Kim, Dong Wook
    • Clinical and Experimental Pediatrics
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    • v.52 no.9
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    • pp.1005-1014
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    • 2009
  • Purpose:Epilepsy of child may cause high level of psychosocial difficulties for parents including stigmatization and stress and therefore worsen their quality of life (QOL). The purpose of this study was to evaluate the mediating effect of perceived stigma against epilepsy on QOL among parents with epileptic child. Methods:Two hundred and sixty parents of epileptic child recruited from five separated university hospital child neurology clinics specializing in epilepsy completed a demographic questionnaire, a medical questionnaire, a perceived stigma questionnaire and the Ro's Quality of Life Inventory, a popular tool for evaluating QOL of adults in Korea which is composed of 6 domains and 47 questions. Data was analyzed with SPSS 14.0 program using frequency analysis and descriptive analysis and with AMOS 7.0 program using Structural Equation Model (SEM) analysis. Results:The level of parents' QOL was relatively fair. SEM analysis on the quality of life level of parents showed that all variables (especially having religion, the monthly income, employment state, age of child, the leisure time, the perceived stigma level against epilepsy, and seizure frequency) directly affect the quality of life level of parents and that disease-related variables also affect the quality of life level of parents indirectly through the mediating factor (the perceived stigma), where the indirect effect is large with the existence of combined disabilities. The total effect on the quality of life level of parents is large with the existence of combined disabilities, the perceived stigma level, the leisure time, having religion, and the monthly income. Conclusion:The results of this study indicated that many factors including parents' perceived stigma may affect the quality of life of parents with epileptic children directly, and that some disease-related factors may affect indirectly through a mediating factor, the perceived stigma. Multidisciplinary collaboration would be imperative for their welfare.

A Convergence Study on Nursing Needs of Hospitalized Children's Mothers and Quality of Care in Pediatric Unit (입원 아동 어머니의 간호요구와 소아병동 간호의 질에 관한 융합 연구)

  • Kim, Yae Young;Cho, Haeryun
    • Journal of the Korea Convergence Society
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    • v.8 no.10
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    • pp.155-166
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    • 2017
  • This study aimed to investigate the nursing needs of hospitalized children's mothers and the quality of care in a pediatric unit. A secondary data analysis was conducted using mixed methods design. The qualitative data from 8 mothers of hospitalized children gathered through an in-depth interview were analyzed to investigate nursing needs. The quantitative data from 194 hospitalized children's mothers were analyzed to examine the quality of care in the pediatric unit using IBM SPSS 24.0. The results of qualitative research were categorized into 4 themes: dignity and respect, explanation, participation and collaboration, and nursing practice. The importance of quality of care, performance, and quality index were $8.76{\pm}1.19$ (0~10), $.30{\pm}.19$ (0~1), and $7.52{\pm}1.62$ (0~10), respectively. The quality of care scores differed according to the stage of development of the children (F=2.75, p=.044), and the score of the quality index of nursing skill varied according to the age of the mother (t=-2.08, p=.039). The results of this study are expected to contribute to the development of strategies to improve the quality of nursing care for children.