• 제목/요약/키워드: Multidimensional Scales

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암성 통증의 평가방법에 대한 고찰 (Investigation on Cancer Pain Assessment)

  • 조정효
    • 동의생리병리학회지
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    • 제21권2호
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    • pp.548-553
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    • 2007
  • In general, cancer pain is neither fully recognized nor adequately treated. The inadequate pain control is due to failure of accurate assessment of cancer pain. This study was aimed to understand various characters of cancer pain and investigate available assessment scales which have been designed for, or frequently used with people with cancer pain. A total of 23 articles were selected from two different databases. The selected articles were analyzed according to three aspects of initial assessment, patient self-report and assessment of the outcomes of pain management. The characters of cancer pain is complex and includes physical, psychosocial, and spiritual dimension. Also, subjective pain can be classified into at least four specific factors, such as pain intensity, pain affect, pain relief, and pain quality. Based on various classification, the pain assessment scales can be divided into unidimensional or multidimensional. Among the more commonly used clinical tools are numeric rating scales, verbal rating scales, visual analog scales, and picture scales. Above all, in order to assess cancer pain objectively, the clinician must select appropriate assessment instruments which reflect pain definition and clinical purpose.

류마티스 관절염환자용 다차원적 피로척도의 타당도 및 신뢰도 (Validity and Reliability of Translated Multidimensional Assessment of Fatigue Scale for the Patients with Rheumatoid Arthritis)

  • 이경숙;이은옥
    • 근관절건강학회지
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    • 제5권2호
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    • pp.206-221
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    • 1998
  • The purpose of this study was to validate translated Multidimensional Assessment of Fatigue(MAF) scale. The scale is a 16-item scale that measures four dimensions of fatigue : severity, distress, impact, timing. Fourteen items are numerical rating scales and 2 items have multiple choice responses. Data were collected from the 137 patients with rheumatoid arthritis after content validation. Criterion validity was tested by correlation coefficient with Piper Fatigue Scale, which resulted in 0.7573(p<.0000). Construct validity was tested by item analysis and factor analysis. Corrected item-total correlation coefficients were 0.63-0.88. And factor analysis showed 2 factors : fatigue degree factor and fatigue impact factor. These two factors explained 73.5% of total variance. Reliability of internal consistency was 0.96 in Cronbach's alpha. Further validation study is necessary in each factor in other settings with other subjects.

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다면적·위계적 모델을 중심으로 본 초·중학생들의 자아개념 구조 분석 (Structure of the Self-Concept of Korean Primary and Secondary School Students : Analysis by Multidimensional Hierarchical Model)

  • 조현철
    • 아동학회지
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    • 제21권2호
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    • pp.99-118
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    • 2000
  • This study investigated the self-concepts of Korean students based on Marsh and Shavelson's(1985) multidimensional hierarchical model. Reduced forms of the Self-Description Questionnaire(SDQ)-I and -II were administered to 308 5th and 6th grade students and 718 7th to 9th grade students. Results of 2 factor analyses indicated that sub-scales 9 and 11 were well established for SDQ-I and -II, respectively, partly confirming the multidimensionality of self-concept. The factors involving distinctions between academic and non-academic higher-order factors and between the academic/math and the academic/verbal factors were not so differentiated nor hierarchically arranged as proposed by the model. These differences may be attributed to the heavy influence of the academic self-concept on the other sub-factors. A Locality ${\times}$ Sex ${\times}$ Grade ANOVA showed main effects of locality favoring urban areas and of sex favoring boys.

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Pain measurement in oral and maxillofacial surgery

  • Sirintawat, Nattapong;Sawang, Kamonpun;Chaiyasamut, Teeranut;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제17권4호
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    • pp.253-263
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    • 2017
  • Regardless of whether it is acute or chronic, the assessment of pain should be simple and practical. Since the intensity of pain is thought to be one of the primary factors that determine its effect on a human's overall function and sense, there are many scales to assess pain. The aim of the current article was to review pain intensity scales that are commonly used in dental and oral and maxillofacial surgery (OMFS). Previous studies demonstrated that multidimensional scales, such as the McGill Pain Questionnaire, Short form of the McGill Pain Questionnaire, and Wisconsin Brief Pain Questionnaire were suitable for assessing chronic pain, while unidimensional scales, like the Visual Analogue Scales (VAS), Verbal descriptor scale, Verbal rating scale, Numerical rating Scale, Faces Pain Scale, Wong-Baker Faces Pain Rating Scale (WBS), and Full Cup Test, were used to evaluate acute pain. The WBS is widely used to assess pain in children and elderly because other scales are often difficult to understand, which could consequently lead to an overestimation of the pain intensity. In dental or OMFS research, the use of the VAS is more common because it is more reliable, valid, sensitive, and appropriate. However, some researchers use NRS to evaluate OMFS pain in adults because this scale is easier to use than VAS and yields relatively similar pain scores. This review only assessed pain scales used for post-operative OMFS or dental pain.

불법무기 자진신고의 대상별 유사성 (Similarity on Types of Illegal Weapon Self-report)

  • 주일엽;조광래
    • 시큐리티연구
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    • 제53호
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    • pp.137-157
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    • 2017
  • 본 연구는 전국 16개 지역별로 총기류, 도검류, 포탄류, 실탄류, 폭발물류 등 불법무기 자진신고 현황을 연구대상으로 2011년 불법무기 자진신고의 유형별 유사성, 2015년 불법무기 자진신고의 유형별 유사성을 파악하고 변화를 규명하는데 목적이 있다. 구체적인 연구결과는 다음과 같다. 첫째, 2011년 불법무기 자진신고의 유형별 군집은 '군집 1'은 총기류, 도검류, 포탄류, 폭발물류 등 4종의 불법무기가 포함되며, '군집 2'는 실탄류 1종의 불법무기가 포함된다. 둘째, 2011년 불법무기 자진신고의 유형별 다차원척도는 총기류는 우측 하단(4/4분면), 도검류는 우측 하단(4/4분면), 포탄류는 우측 하단(4/4분면), 실탄류는 좌측 중앙부(3/4분면), 폭발물류는 우측 상단(1/4분면) 등으로 나타났다. 셋째, 2015년 불법무기 자진신고의 유형별 군집은 '군집 1'은 총기류, 도검류, 포탄류, 폭발물류 등 4종의 불법무기가 포함되며, '군집 2'는 실탄류 1종의 불법무기가 포함된다. 넷째, 2015년 불법무기 자진신고의 유형별 다차원척도는 총기류는 우측 하단(4/4분면), 도검류는 우측 상단(1/4분면), 포탄류는 우측 상단(1/4분면), 실탄류는 좌측 중앙부(2/4분면), 폭발물류는 우측 중앙부(4/4분면) 등으로 나타났다. 본 연구는 불법무기 자진신고의 유형별 유사성을 규명함으로써 국가 안보와 국민 안전에 기여하는 기초를 제공하고, 후속연구를 위한 기초자료를 제시하였다는 점에서 상당한 의의를 가진다.

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Comparison of the Pediatric Balance Scale and Fullerton Advanced Balance Scale for Predicting Falls in Children With Cerebral Palsy

  • Kim, Gyoung-mo
    • 한국전문물리치료학회지
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    • 제23권4호
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    • pp.63-70
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    • 2016
  • Background: The Pediatric Balance Scale (PBS) and the Fullerton Advanced Balance (FAB) scale were used to assess balance function in patients with balance problem. These multidimensional clinical balance scales provide information about potential risk factors for falls. Objects: The purpose of this study was to investigate and compare the predictive properties of the PBS and FAB scales relative to fall risk in children with cerebral palsy (CP) using a receiver operating characteristic analysis. Methods: In total, 49 children with CP (boy=21, girl=28) who were diagnosed with level 1 or 2 according to the Gross Motor Function Classification System participated in this study. The PBS and FAB were performed, and verified cut-off score, sensitivity, specificity, and the area of under the curve (AUC). Results: In this study, the PBS scale was as a predictive measure of fall risk, but the FAB was not significant in children with CP. A cut-off score of 45.5 points provided optimal sensitivity of .90 and specificity of .69 on the PBS, and a cut-off score of 21.5 points provided optimal sensitivity of .90 and specificity of .62 on the FAB. Both scales showed moderately accurate of AUC with .79 and .76, respectively. Conclusion: The PBS is a useful screening tool for predicting fall risk in children with cerebral palsy, and those who score 45.5 or lower indicate a high risk for falls and are in need of balance intervention.

월경통의 객관적 평가 기준에 대한 임상 논문 고찰 (Review on Objective evaluation of Dysmenorrhea)

  • 조정훈;장준복;이경섭;박명원
    • 대한한방부인과학회지
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    • 제19권1호
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    • pp.178-187
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    • 2006
  • Purpose : The aim of this study was to investigate objective evaluation of dysmenorrhea. Methods : The study was conducted by 37 articles from year 1979 to 2003 on dysmenorrhea, scale and questionaire. The articles was limited by English, Human, and Clinical trial Results : 1. The 37 articles on dysmenorrhea evaluated by scale or questionaire have been published from 1979. There are 27 articles of randomized controlled trial among them. 2. Scale or question has confidence in the assessment of dysmenorrhea. 3. In the initial stage the article on dysmenorrhea was assessed by only one unidimentional scale. However in recent articles multidimensional scales are applied frequently. Moreover it is the modern trend that point scale such as 100mm VAS and MVRS(multidimensional verbal rating scale) are applied together in one article on dysmenorrhea. Conclusion : It can be suggested that scale or questionaire be the method for objective evaluation of dysmenorrhea.

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옷감의 질감 명명 체계 확립을 위한 질감 속성자 분류 -여성 슈트용 추동복지의 질감 속성을 중심으로- (Classification of Textural Descriptors for Establishing Texture Naming System(TNS) of Fabrics -Textural Descriptions of Women's Suits Fabrics for Fall/winter Seasons-)

  • 한은경;김은애
    • 한국의류학회지
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    • 제30권5호
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    • pp.699-710
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    • 2006
  • The objective of this study was to identify the texture-related components of woven fabrics and to develop a multidimensional perceptual structure map to represent the tactile textures. Eighty subjects in clothing and tektite industries were selected for multivariate data on each fabric of 30 using the questionnaire with 9 pointed semantic differential scales of 20 texture-related adjectives. Data were analyzed by factor analysis, hierarchical cluster analysis, and multidimensional scaling(MDS) using SPSS statistical package. The results showed that the five factors were selected and composed of density/warmth-coolness, stiffness, extensibility, drapeability, and surface/slipperiness. As a result of hierarchical cluster analysis, 30 fabrics were grouped by four clusters; each cluster was named with density/warmth-coolness, surface/slipperiness, stiffness, and extensibility, respectively. By MDS, three dimensions of tactile texture were obtained and a 3-dimensional perceptual structure map was suggested. The three dimensions were named as surface/slipperiness, extensibility, and stiffness. We proposed a positioning perceptual map of fabrics related to texture naming system(TNS). To classify the textural features of the woven fabrics, hierarchical cluster analysis containing all the data variations, even though it includes the errors, may be more desirable than texture-related multidimensional data analysis based on factor loading values in respect of the effective variables reduction without losing the critical variations.

한국어판 다차원적 체험회피 질문지의 신뢰도 및 타당도 연구 (A Study on the Reliability and Validity of a Korean translated Multidimensional Experiential Avoidance Questionnaire)

  • 정지현
    • 한국콘텐츠학회논문지
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    • 제18권1호
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    • pp.517-526
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    • 2018
  • 본 연구는 $G{\acute{a}}mez$, Chmielewski, Kotov, Ruggero와 Watson이 개발한 다차원적 체험회피 질문지를 한국어로 번안하여 신뢰도 및 타당도를 검증하기 위해 수행되었다. 대학생 285명을 대상으로 다차원적 체험회피 질문지를 실시하여 탐색적 요인분석을 실시한 결과, 6개 요인, 50문항이 확인되었다. 50문항 전체의 내적 합치도 계수는 .91이었다. 대학생 315명에게 다차원적 체험회피 질문지를 실시하여 확인적 요인분석을 실시한 결과, 6개 요인이 적합한 것으로 나타났다. 이 중 275명에게 수용 행동 질문지II, 사고억제 질문지, Toronto 감정표현 불능증 척도, 신경증, 회피적 대처, 한국판 CES-D, 한국판 Beck 불안 척도, 한국판 심리적 안녕감 척도, 삶의 만족도 척도를 함께 실시하여 다차원적 체험회피와의 상관을 살펴본 결과, 다차원적 체험회피 질문지는 수렴, 변별, 준거타당도를 가지는 것으로 나타났다.

통증(痛症)의 임상적평가법(臨床的評價法)에 관한 고찰(考察) (The Study For Clinical Measurement of Pain)

  • 신승우;정석희;이종수;신현대;김성수
    • 동국한의학연구소논문집
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    • 제8권2호
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    • pp.25-46
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    • 2000
  • 통증은 환자들로 하여금 내원하게 하는 주된 증상중의 하나로, 치료방법의 선택 및 효과 판정을 위해서는 적절한 평가가 필요하다. 통증은 실험적인 방법과 임상적인 방법에 의해 측정될 수 있는데, 통증의 주관적인 성격상 임상적인 방법이 일반적으로 사용된다. 통증의 임상적측정법은 일차원적측정법과 다차원적측정법으로 대별할 수 있는데, 일차원적 측정법으로는 시각적상사척도(Visual Analogue Scale), 구술적평정척도(Verbal Rating Scale), 수치평정척도(Numerical Rating Scale), 통증표정척도(Pain Faces Scale), 그리고 포커칩 도구(Poker Chip Tool)등이 있고, 다차원적 측정법으로는 McGill 동통질문서(McGill Pain Questionnaire), 다면적인성검사(MMPI), 통증행동척도(Pain Behavior Scale), 통증장애지표(Pain Disability Index), 그리고 통증평정척도(Pain Raing Scale)등이 있다. 일차원적 측정법은 주로 환자의 자가통증평가법에 기초하여 통증의 강도를 측정하는데, 측정방법의 단순함과 신속성으로 인해 급성통증을 평가하는데 주로 사용된다. 다차원적인 측정법은 통증의 주관적, 정신적 그리고 행동적인 면을 측정하는데, 측정방법이 포괄적이고 신뢰성이 있어서 만성통증을 측정하는데 사용된다. 환자의 언어와 인지능력은 정확한 통증을 평가하는데 장애가 되는 주된 요인이다. 통증에 따른 행동반응이나 생체반응은 환자의 통증을 완전히 대변하지 못하지만 이러한 상황에 있어 유용한 통증평가지표가 될 수 있다. 통증평가법을 결정할 때에는 먼저 측정하려고 하는 통증의 성격을 고려하여 어떠한 면을 측정할 것인가를 결정해야하며 아울러 환자의 언어와 인지능력을 고려해야 한다. 적절한 평가법의 선택은 환자의 진단과 치료에 있어 유효한 결론에 이르게 하는 중요한 과정이다.

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