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Sensitivity and Validity Test of Pain Rating Scale Using Pain Behavior of Adult Patients with Chronic Pain (만성통증환자의 통증연관 행위를 이용한 통증척도의 민감성 및 타당성 조사)

  • 이은옥;이선옥;임난영;최순희;김달숙;김순자;한윤복;김주희;김광주
    • Journal of Korean Academy of Nursing
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    • v.22 no.1
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    • pp.5-16
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    • 1992
  • The purposes of this study were : 1) to evaluate validity of a pain rating scale using the level of correlation between the Korean Pain Rating Scale(KPRS), Short -Form KPRS(SKPRS) and the Graphic Rating Scale(GRS). 2) to identify sensitivity of the scale using pain behavior of patients with chronic pain. Of the 2025 patients with chronic pain who visited the orthopedic and neurosurgical out - patients departments of 11 university hospitals in various districts of Korea, 520 subjects were selected through convenient sampling and responded to the questionnaires by mail. The results of the study can be summarized as follows : 1. The mean pain score measured by the KPRS was 444,85 : the mean sensory score was 209.47, the mean affective score, 147.63 and the mean miscellaneus score. 87.75. The mean pain score measured by the GRS was 20.11 : the mean sensory intensity score, 10.54. and the mean distress score, 9.57. 2. The average number of hours of rest during the day was 3.3, the average score of discomfort in carrying out ADL was 99, the average frequency of pain relieving practices was 3.0, the average number of pain sites was 3.6. 3. The most sensitive scale to differentiate each group was the GRS, the KPRS and SKPRS were less sensitive than the GRS. 4. The intercorrelation between the KPRS total score and the GRS score(.500) as well as that of the SKPRS score were highly correlated(.652), but intercorrelation between the SKPRS score and the GRS score(.172) was not high. Based on the above results, it was found that the SKPRS must be studied further to obtain validity.

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A Study on Workers Knowledge, Attitude, and Practice of Health Management in Taejon and Chungnam Province (대전.충남지역 근로자의 산업보건관리에 대한 지식태도 실천 조사연구)

  • Hong, Chun-Sil;Kim, Hyun-Li
    • Research in Community and Public Health Nursing
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    • v.4 no.2
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    • pp.131-138
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    • 1993
  • The purpose of this study was to identify K.A.P. of industrial workers on health management. The study was conducted Dec 5, 1992 to March 10, 1993. The results were as follows : 1. The total Score of K.A.P. of industrial worker on the Knowledge of industrial health management was 2.52, the Attitude score was 42, the Practice score 2, 62. 2. The office workers' score on K.A.P.(T=-2. 11, P=.038) Attitude score(T=-2.03, P=.045) were higher than that of productive workers' 3. The K.A.P. score of married worker was higher than that of single workers, and showed significant differences statistically. 4. There are significant statistical differences in the Attitude score of workers according to age(F=2.26, F=.0304). 5. There were statistically significant differences among total Scores of K.A.P. (F=3.1141, P=.0498). Practice score(F=8.4421, P=.0004), Knowledge Score (F=3.5833, P=.0323). Performed 84.7%. 6. The relationship between industrial worker's health level score and industrial health status had reverse relationship(R=-.7689. P<.001) Therefore the companies that performed better health management attained a higher health level.

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A Study on the Relationship between Cultural Competence and Empathy of Nursing Students (일 간호대학생의 문화적 역량과 공감능력과의 관계)

  • Bae, Yeong Suk
    • Journal of East-West Nursing Research
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    • v.21 no.1
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    • pp.52-60
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    • 2015
  • Purpose: This study investigated the relationship between cultural competence and empathy of nursing students who can provide appropriate health care to their patients in the future. Methods: All the participants (N=364) were nursing students and completed a survey of the Caffrey Cultural Competence in Health Scale (CCCHS), Cultural Competence Assessment (CCA), and Interpersonal Reactions Index (IRI). Results: The mean of cultural competence and empathy of participants were 2.8 and 3.7, respectively. The cultural competence score in male students was higher than the score of female students (p=.044). In addition, the cultural competence score of nursing students who had an experience with foreigners was higher than the score of students who had not (p=.017). However, the cultural competence score of nursing students who did not take a multicultural education was higher than the score of students who took it. The empathy score of female students was higher than the score of male students (p=.003). The empathy score of students who had a multicultural education was higher than the score of students who did not take it (p=.008). Conclusion: The findings suggest that nursing students need to enhance cultural competence and empathy.

The Effect of Phonetic Contexts on Nasalance Score for Normal Adults (음운 환경이 정상 성인의 비음치에 미치는 영향)

  • 김민정;심현섭
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.2
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    • pp.97-101
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    • 1999
  • The nasalance score measured by Nasometer is a supplementary data for the perceptually rated nasality by a trained speech pathologist. Because the nasalance score varies with speech material, a valid and reliable material should be developed for evaluating it. The objectives of the present study were (1) to examine whether phonetic contexts affect the nasalace score and (2) to examine the reliability of both meaningless one-syllable words and meaningful sentences. This study analyzed nasalance score in 20 different phonetic contexts from 24 normal adults. The results showed (1) nasalance score increased as the percentage of nasal consonants and vowel /i/ increased, (2) the manner and the place of articulation in oral consonants did not influence the nasalance score, and (3) in nasalance score, correlation between sentences was found to be high, but correlation between syllables was not. These results may indicate that, when preparing the speech material for measuring the nasalance score, it is important to consider not only the percentage of nasal consonants but also that of vowel /i/ in the speech material. In addition, the sentence is more reliable material than meaningless one-syllable words.

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Effect of Moxibustion Therapy on Ryodoraku Score of the Patients with Degenerative Arthritis of Knee Joint (퇴행성 슬관절염 환자의 뜸 치료가 양도락 점수에 미치는 영향)

  • Oh, Myung Jin;Song, Ho Sueb
    • Journal of Acupuncture Research
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    • v.30 no.2
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    • pp.9-15
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    • 2013
  • Objectives : This study was done for reporting the effect of moxibustion therapy on Ryodoraku score of the patients with degenerative arthritis of knee joint. Methods : We investigated 65 cases of patients with degenerative arthritis of knee joint, and devided patients into two groups : One group treated by moxibustion therapy, which was not applied to the other group we analyzed of each group the Ryodoraku score(F1, F6) of each group before and after moxibustion therapy and compared it. Results : 1. In moxibustion therapy group compared with baseline, at final, Ryodoraku score(F1, F6) was significantly increased. 2. At final, moxibustion therapy group showed significant increase on Ryodoraku score(F1, F6) score compared with non moxibustion therapy group. Conclusions : It is suggested that Ryodoraku score(F1, F6) should be available for diagnosing degenerative arthritis of knee joint.

Correlation Analysis Between Physical Properties of Linerboard and Score Crack (괘선터짐과 라이너지 물성간의 상관성 분석)

  • Chin, Seong-Min;Youn, Hye-Jung;Lee, Hak-Lae
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.41 no.1
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    • pp.30-36
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    • 2009
  • Cracking of scored or creased lines on boards is a serious problem in converting process of corrugated fiberboard. It is important to reduce the possibility of score crack in advance by controlling the related quality factors of linerboard. To find out the key properties affecting score crack, we carried out the correlation analysis between score crack and physical properties of linerboards. Score crack was evaluated by visual rating on surface crack after folding a linerboard using laboratory folding resistance tester. Thickness of linerboard was the most important factor to score crack. The critical limits of thickness and strain can be determined by correlation analysis for reducing the possibility of score crack.

Performance study of propensity score methods against regression with covariate adjustment

  • Park, Jincheol
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.1
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    • pp.217-227
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    • 2015
  • In observational study, handling confounders is a primary issue in measuring treatment effect of interest. Historically, a regression with covariate adjustment (covariate-adjusted regression) has been the typical approach to estimate treatment effect incorporating potential confounders into model. However, ever since the introduction of the propensity score, covariate-adjusted regression has been gradually replaced in medical literatures with various balancing methods based on propensity score. On the other hand, there is only a paucity of researches assessing propensity score methods compared with the covariate-adjusted regression. This paper examined the performance of propensity score methods in estimating risk difference and compare their performance with the covariate-adjusted regression by a Monte Carlo study. The study demonstrated in general the covariate-adjusted regression with variable selection procedure outperformed propensity-score-based methods in terms both of bias and MSE, suggesting that the classical regression method needs to be considered, rather than the propensity score methods, if a performance is a primary concern.

Study on the Association of PSQI, IQ, BDI and DSOM in the Insomnia Patients(l) (불면환자의 수면의 질 척도, 우울척도, 한방진단시스템과의 연관성 연구(1))

  • Oh, Kyong-Min;Kim, Bo-Kyong
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.3
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    • pp.89-119
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    • 2009
  • Objectives : This study was to investigate the association of Pittsburgh Sleep Quality Index(PSQI), Insomnia Questionaire(IQ), Beck Depression Inventory(BDI) and Diagnos system of oriental medicine(DSOM) in the Insomnia Patients. Methods : For this study, we carried out PSQI, IQ, BDI and DSOM of 37 patients with insomnia who have come to Donguei oriental hospital of Donguei university from November 2008 to May 2009. And Using cross tabulation analysis, verified the association of PSQI, IQ, BDI and DSOM. Results : 1. The most Frequent Pathogenic Factor is blood-deficiency(血虛) in total patients. 2. The score of BDI has positive correlation with sc10 of deficiency of qi(氣虛), damp(濕), kdney(腎) in total patients. 3. The score of PSQI has positive correlation with zp of liver(肝) in total patients. 4. The score of PSQI has positive correlation with sc10 and zp of insufficiency of Yin(陰虛), and the score of BDI has positive correlation with sc10 of blood stasis(血瘀) and zp of liver(肝) in female patients. 5. The score of PSQI has positive correlation with sc10 of deficiency of qi(氣虛) and zp of heart(心), and the score of IQ has positive correlation with sc10 of liver(肝) in male patients. 6. The duration from onset in the group of 22-59years are longer than the group of 60-80 years and the duration of using hypnotics have positive correlation with total sleep time in 22-59years group. 7. The score of PSQI has positive correlation with zp of liver(肝) in 22-59years group. 8. The score of PSQI has positive correlation with the score of BDI in 60-80years group. 9. The score of BDI has positive correlation with sc10 of deficiency of qi(氣虛) and zp of blood-deficiency(血虛), and the score of IQ has positive correlation with zp of coldness(寒) in 60-80years group. 10. The score of IQ has positive correlation with sc10 and zp of dryness(燥) in below 6 Months Group. 11. The score of PSQI has positive correlation with the score of BDI in over 6 Months Group. 12. The score of PSQI has positive correlation with zp of liver(肝) in over 6 Months Group. 13. The score of IQ has positive correlation with sc10 of dryness(燥) in BDI 2nd Grade Group. 14. The score of BDI has positive correlation with sc10 of kidney(腎) and the age has positive correlation with zp of heart(心) in BDI 3rd Grade Group. 15. The age has positive correlation with sc10 of damp(濕) in BDI 4th Grade Group. Conclusions : This study provides insights into the complicated associations of the pattern of insomnia with depression and Diagnos system of oriental medicine. And especially this study showed apparent correlation between insomnia and depression in 60-80years group and over 6 months group.

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Validation of Nursing-sensitive Patient Outcomes;Focused on Knowledge outcomes (지식결과에 대한 타당성 검증;간호결과분류(NOC)에 기초하여)

  • Yom, Young-Hee;Lee, Kyu-Eun
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.3
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    • pp.357-374
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    • 2000
  • The purpose of this study was to validate knowledge outcomes included Nursing Outcomes Classification(NOC) developed by Johnson and Maas at the University of Iowa. A sample of 71 nurse experts working in university affiliated hospitals participated in this study. They were asked to rate indicators that examplified the outcomes on a scale of 1(indicator is not all characteristic) to 5(indicator is very characteristic). A questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of outcomes. The results were as follow: 1. All indicators were considered to be 'supporting' and no indicators were considered to be 'nonsupporting'. 2. 'Knowledge: Treatment Regimen' attained and OCV score of 0.816 and was the highest OCV score among outcomes. 3. 'Knowledge: Energy Conservation' attained an OCV score of 0.748 and was the lowest OCV score among abuse outcomes. 4. 'Knowledge: Breastfeeding' attained an OCV score of 0.790 and was the highest indicator was 'description of benefits of breastfeeding'. 5. 'Knowledge: Child Safety' attained an OCV score of 0.778 and was the highest indicator was 'demonstration of first aids techniques'. 6. 'Knowledge: Diet' attained an OCV score of 0.779 and was the highest indicator was 'performance of self-monitoring activities'. 7. 'Knowledge: Disease Process' attained an OCV score of 0.815 and was the highest indicator was 'description of signs and symptoms'. 8. 'Knowledge: Health Behaviors' attained an OCV score of 0.800 and was the highest indicator was 'description of safe use of prescription drugs'. 9. 'Knowledge: Health Resources' attained an OCV score of 0.794 and was the highest indicator was 'description of need for follow-up care'. 10. 'Knowledge: Infection Control' attained an OCV score of 0.793 and was the highest indicator was 'description of signs and symptoms'. 11. 'Knowledge: Medication' attained an OCV score of 0.789 and was the highest indicator was 'description of correct administration of medication'. 12. 'Knowledge: Personal Safety' attained an OCV score of 0.804 and was the highest indicator was 'description of measures to reduce risk of accidental injury'. 13. 'Knowledge: Prescribed Activity' attained an OCV score of 0.810 and was the highest indicator was 'proper performance of exercise'. 14. 'Knowledge: Substance Use Control' attained an OCV score of 0.809 and was the highest indicator was 'description of signs of dependence during substance withdrawl'. 15. 'Knowledge: Treatment Procedure(s)' attained an OCV score of 0.795 and was the highest indicator was 'description of appropriate action for complications'. 16. 'Knowledge: Treatment Regimen' attained an OCV score of 0.816 and was the highest indicator was 'description of self-care responsibilities for emergency situations'. More outcomes need to be validated and outcomes sensitive to Korean culture need to be developed.

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Effects of Dietary Attitudes on the Nutritional Status of Nurses in Kyungnam Province

  • Bae, Ji-Hyun;Youn, Hyun Sook;Choi, Yun Young
    • Nutritional Sciences
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    • v.7 no.4
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    • pp.247-253
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    • 2004
  • This study has investigated the effect of dietary attitudes on nutritional status of nurses living in Kyungnam province. A total of 249 muses working at hospitals in the Kyungnam area participated in this study. The general characteristics and dietary attitudes of the subjects were surveyed using a self-administered questionnaire, and nutrient intakes were examined using one day 24-hour recall method from November 14 to December 20, in 2001. The data of nutrient intakes were analyzed by the Computer Aided Nutritional Analysis Program and then the diet quality was estimated using the Index of Nutritional Quality (INQ). The subjects were classified as the high score group (17.3 %), medium score group (54.2%), and low score group (28.5%) based on dietary attitude score. The results were as follows: Average age of subjects was 27.1 years old, average nursingexperience was 5.7 years, and 70.7% of the subjects graduated from a junior college. The rate of shift work (45.4%) and non-shift work (54.6%) were similar. The average score on dietary attitudes in thehigh score group was 78.8, and those in he medium score group and in the low score group were 58.6 and 40.8 out of 100 points respectively. The average intake of energy (p < 0.001), carbohydrate (p < 0.001), protein (p < 0.05), animal protein (p < 0.01), animal fat (p < 0.05), vitamin $B_1$ (p < 0.01), vitamin $B_2$ (p < 0.0l), niacin (p < 0.001), Ca (p < 0.001), Fe (p < 0.001), animal Fe (p < 0.01), P (p < 0.001), and crude fiber (p < 0.00l), were significantly higher in the high score group than those in the medium score group and low score group. In the high score group, the average intake of protein, vitamin $B_1$, niacin, vitamin C and P were above 125% of the Korean RDA, and in medium score group, those of vitamin C and P, and in low score group, that of vitamin C were above 125% of the Korean RDA. In the high score group, nutrient of intake below 75% of the Korean RDA was Ca, and those in medium score group were vitamin $B_2$, Ca, and Fe, and those in low score group were energy, vitamin $B_2$, Ca and Fe. The intake ratio of Ca and P showed an unbalanceof 1:2, and that of animal protein/plant protein, and that of animal fat/plant fat were high (1.45-1.64) in all group;. The dietary attitude had a positive correlation (p < 0.00l) with nutrition intake except vitamin A and vitamin C.