• Journal of Preventive Medicine and Public Health
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• 제56권4호
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• pp.291-302
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• 2023

Objectives: Disability weights require regular updates, as they are influenced by both diseases and societal perceptions. Consequently, it is necessary to develop an up-to-date list of the causes of diseases and establish a survey panel for estimating disability weights. Accordingly, this study was conducted to calculate, assess, modify, and validate disability weights suitable for Korea, accounting for its cultural and social characteristics. Methods: The 380 causes of disease used in the survey were derived from the 2019 Global Burden of Disease Collaborative Network and from 2019 and 2020 Korean studies on disability weights for causes of disease. Disability weights were reanalyzed by integrating the findings of an earlier survey on disability weights in Korea with those of the additional survey conducted in this study. The responses were transformed into paired comparisons and analyzed using probit regression analysis. Coefficients for the causes of disease were converted into predicted probabilities, and disability weights in 2 models (model 1 and 2) were rescaled using a normal distribution and the natural logarithm, respectively. Results: The mean values for the 380 causes of disease in models 1 and 2 were 0.488 and 0.369, respectively. Both models exhibited the same order of disability weights. The disability weights for the 300 causes of disease present in both the current and 2019 studies demonstrated a Pearson correlation coefficient of 0.994 (p=0.001 for both models). This study presents a detailed add-on approach for calculating disability weights. Conclusions: This method can be employed in other countries to obtain timely disability weight estimations.

• 한국간호교육학회지
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• 제26권3호
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• pp.269-280
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• 2020

Purpose: Clinical nurses are the ideal health care providers to advocate for vulnerable and underserved populations such as people with disability. This study aimed to understand factors influencing nursing advocacy for people with disability among clinical nurses. Methods: The subjects of this study were 186 clinical nurses who were working in three hospitals in B and D cities. Self-report questionnaires were used to collect the data. Data were analyzed using IBM SPSS Statistics 25 with descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis. Results: Clinical experience and esthetical nursing competency have positive correlations with nursing advocacy, and optimism-human rights has a negative correlation with nursing advocacy. Factors influencing nursing advocacy for people with disability were identified as patient directivity (β=0.36, p=.001), optimism-human rights (β=-0.18, p=.008) and clinical experience (≥10) (β=0.14, p=.036). The final model consisting of these factors explained 19% of the variance of nursing advocacy (F=14.99, p=.001). Conclusion: The findings of this study indicate the importance of developing and implementing nursing interventions that can improve patient directivity and optimism-human rights toward people with disability among clinical nurses. These nursing advocacy interventions can be provided as part of continuing education as well as the nursing curriculum.

• 재활간호학회지
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• 제14권1호
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• pp.5-12
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• 2011

Purpose: The purpose of this study was to evaluate the association among of Activity of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), depression and isolation in disabled people. Method: The subjects consisted of 761 disabled people in Korea. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlational statistics. Results: There were significant differences in age, cause of disability, type of disability, degree of disability, education, job, perceived health condition, and economic status between disabled people with high and low levels of ADL and IADL. Depression showed significant differences in type of disability, degree of disability, education, job, perceived health condition, and economic state; isolation showed significant differences in age, cause of disability, type of disability, education, job, residence, perceived health condition, and economic status. A significant association was identified between depression and isolation (r=.69, p<.001). Conclusion: There was a high incidence of depression in disabled men with high levels of isolation and ADL and IADL dependence. An effort to increase disabled people's ADL, IADL, and independence levels is needed, and nursing interventions should be designed and tested to increase their community involvement and decrease the sense of isolation and depression.

• 융합정보논문지
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• 제9권6호
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• pp.97-103
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• 2019

본 연구의 목적은 장애수용 및 자기효능감을 통하여 장애인의 생활 만족도 증진 방안을 마련하는 것이다. 본 연구의 대상은 2017년 장애인 고용패널 2차 웨이브 2차 조사 대상자 4,400명중 1,505명이다. SPSS 23.0에 의한 회귀분석, 기술통계 및 상관분석이 사용되었다. 연구결과 장애수용은 자기효능감과 생활 만족도에 정(+)적 영향을 미쳤다. 자기효능감은 생활 만족도에 정(+)의 영향을 미쳤으며, 장애수용과 생활 만족도 사이에서 매개역할을 했다. 이러한 결과를 바탕으로 재활치료 및 심리인지 통합 프로그램의 운영과 장애인에게 다양한 프로그램의 발굴 및 참여가 필요하다는 제언을 하였다.

• 재활복지
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• 제21권1호
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• pp.71-95
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• 2017

본 연구는 노인의 장애유무가 성공적 노화에 미치는 영향과 사회적 관계망의 조절효과를 분석하여 장애가 있는 노인의 성공적 노화를 위한 사회복지 정책 및 실천적 함의를 제시하는데 목적이 있다. 연구대상은 국민노후보장패널조사(KReIS) 4차 개인조사 및 부가조사에 모두 응답한 대상자 중 만 65세 이상의 노인이며, 총 3,906명을 토대로 분석을 실시하였다. 자료 분석을 위해 IBM SPSS Statistics v23.0 프로그램을 활용하여 기술통계를 제시하고, 조절효과 분석을 위해 다중회귀분석을 수행하였다. 연구결과는 다음과 같다. 첫째, 노인의 장애는 성공적 노화에 부적(-) 영향을 미치는 것으로 확인되었다. 둘째, 사회적 관계망으로서 친구 이웃관계망과 가족관계망 모두 성공적 노화에 긍정적 영향을 미치는 것으로 나타났다. 셋째, 사회적 관계망 중 친구 이웃 관계망은 장애가 성공적 노화에 미치는 효과를 조절하는 것으로 나타났다. 즉, 노인이 장애가 있을수록 성공적 노화수준은 낮아지는데 친구 이웃 관계망의 사회적 지지가 커질수록 장애가 성공적 노화에 미치는 부적(-) 효과는 약해지는 것으로 나타났다. 이러한 분석 결과에 근거하여 장애가 있는 노인의 성공적 노화를 위해 장애노인을 대상으로 사례관리 도입과 사회적 관계망 확충을 위한 이동권 보장 및 자조모임 프로그램 제공 등을 제언하였다.

• 응용통계연구
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• 제21권4호
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• pp.589-602
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• 2008

순위형 다범주 자료에 있어서 범주값의 증감에 대한 설명변수의 특성분석을 위하여 다항로짓모형을 적합하여 분석하고 로지스틱 회귀모형을 적합하여 분석한 결과와 비교하였다. 이를 통하여 장애연금 수급자자료의 재정추계를 위해 필요한 일곱 가지 요인인 성별, 수급나이, 가입기간, 가입종별, 소득활동여부, 소득수준, 장애원인이 장애등급에 미치는 영향을 파악하였다. 일곱 요인 모두 장애응급에 대한 연관성이 있음을 확인하였고 이 가운데 다섯 요인은 장애등급의 증감에 있어서도 일정한 추세를 보였으나, 장애원인과 소득수준은 장애등급의 증감에는 일정한 추세를 보이지 않음을 확인하였다. 본 연구의 결과는 장애연금 관리방안을 모색하는데 있어서 장애등급에 따른 설명 요인의 특성을 반영하는데 필요한 가이드라인을 제공할 수 있을 것으로 기대한다. 장애등급 분류에 있어서 다중분류의 정분류율은 각각 42.56%와 42.43%로 로지스틱 회귀모형의 경우 다중로짓 모형의 경우보다 다소 높았지만 거의 비슷한 정확도를 보였다.

• 대한통합의학회지
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• 제9권4호
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• pp.1-9
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• 2021

Purpose : The purpose of this study was to investigate functional disability for the elderly in rural Korea and to identify influencing factors of functional disability. Methods : The data were collected for 76 community-dwelling elderly in rural area and above 65 years. We assessed cognitive function, functional disability, depression using LACLS, WHODAS 2.0, SGDS-K. Data were analyzed using descriptive statistics for general characteristics of subjects, Spearman's correlation among LACLS, SGDS-K, WHODAS 2.0, age, educational levels. And multiple regression was used to find influencing factors of functional disability. Results : As a result of this study, we identified that WHODAS 2.0 total score was 50.59, summary score was 9.94 and functional disability of the elderly in rural area is in the 70^th percentile. The highest level of disability occurred in areas related to 'life activities (household)', 'participation in society' and the lowest level of disability occured in areas of 'self-care', 'getting along with people'. Functional disability was significantly correlated with age (r=.398), cognitive function (r=-.547), depression (r=-.563) but not educational levels (r=-.215). Finally, we confirmed that depression (𝛽=.371), cognitive function (𝛽=-.263), widowed status (𝛽=.303), age (𝛽=.272), non-participation of community program (𝛽=.165) was significantly influencing factors of functional disability and the explanatory power of these factors was 52.80 %. Conclusion : This study revealed important factors of functional disability. Therefore, we need to consider these factors when we developed program related to health for the elderly (aged > 65 years) in rural Korea. Further, we need to standardize WHODAS 2.0 in order to enhance its applicability in clinical practices.

• 한국전문물리치료학회지
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• 제18권3호
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• pp.94-102
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• 2011

The purpose of this study was to review existing assessment tools for patients with low back pain and improve them through combination. A total of 314 patients with low back pain participated. Their condition was assessed using the Oswestry Disability Questionnaire (ODQ), the Quebec Back Pain Disability Scale (QBPD), and the Back Pain Functional Scale (BPFS). Rasch analysis was applied to identify inappropriate items, item difficulties, and the separation index. In this study, the 'sex life' item of the ODQ (10 items) and the 'sleeping' item of the BPFS (12 items) showed misfit statistics, whereas all items of the QBPD (20 items) were appropriate. After combining the ODQ, QBPD and BPFS, Rasch analysis was applied. The 'pain intensity', and the 'sex life' item of the ODQ and the 'throw a ball' item of QBPD showed misfit statistics. These 3 items were retained for further analysis. The remaining 42 combined ODQ-QBPD-BPFS items were arranged according to difficulty. For all subjects, the most difficult item was 'pain intensity', whereas the easiest was 'take food out of the refrigerator'. As the separation index of 42 combined ODQ-QBPD-BPFS was higher than that of the three questionnaires separately, difficulty of items varied with some need for rearrangement. The results of this study confirmed the possibility and need for a new back pain disability assessment tool, and produced one. Further study is needed to refine the questionnaire in consideration of psychosocial and occupational factors.

• Journal of the Korean Data and Information Science Society
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• 제22권5호
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• pp.867-875
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• 2011

본 논문의 목적은 지체부자유학교 방과 후 교육과정 운영 실태를 알아보고 보호자의 인식과 요구를 조사 분석하여 지체부자유 학생을 위한 조직적이고 구체적인 방과 후 교육과정 프로그램을 모색하는데 필요한 기초 자료를 제공하고자 한다.

• 재활간호학회지
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• 제15권1호
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• pp.30-38
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• 2012

Purpose: The purpose of this study was to understand the degree of pain belief in musculoskeletal patients, and to identify the correlation with chronic pain, pain coping and pain disability. Methods: A total of 203 inpatients or outpatients with chronic pain in orthopedics agreed voluntarily to participate in this study and answer a questionnaire. Data were analyzed using SPSS/WIN 17.0 program with descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and simple linear regression. Results: The degree of pain belief in this study showed statistically significant differences depending on their age, education, job, health status, and pain duration. Among the variables correlating with pain belief in this study, there were positive correlations between pain and pain disability, pain and passive coping, pain belief and passive coping, pain belief and pain, pain belief and pain disability. The strongest correlation was passive coping and pain disability. Conclusion: From the results of this study, we concluded that it is necessary to develop the nursing intervention which can help reducing negative pain belief in patients with chronic musculoskeletal pain. Also we need to enhance the ways of coping to active or chronic pains for controlling them effectively.