• 한국산학기술학회논문지
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• 제20권2호
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• pp.571-579
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• 2019

본 연구의 목적은 재가노인의 청력장애 정도를 살펴보고, 청력장애가 우울과 자기효능감에 미치는 영향을 확인하는 것이다. 자료수집기간은 2017년 8월 21일부터 9월 7일까지로 하였으며 연구대상자는 3개 지역에 거주하고 있는 재가노인 278명이었다. 수집된 자료는 SPSS Statistics 24 프로그램을 이용하여 t-test와 ANOVA, Sheffe test, Pearson's correlation coefficients, Multiple regression analysis 등으로 분석하였다. 본 연구결과에서 청력장애와 우울, 자기효능감 평균 점수는 각각 10.91(${\pm}19.83$), 4.75(${\pm}3.90$), 46.87(${\pm}6.75$) 등으로 나타났다. 청력장애와 우울은 양의 상관관계(r=.228, p<.001)가 있었고 자기효능감과는 음의 상관관계가 있었으며(r=-.284, p<.001), 우울과 자기효능감은 유의한 음의 상관관계(r=-.526, p<.001)가 있었다. 청력장애는 자기효능감에 부정적인 영향을 미치는(${\beta}=-.161$, p=.008) 것으로 나타났으며 설명력은 27.2%로 측정되었다. 향후 본 연구결과를 토대로 청력장애를 예방하거나 최소화할 수 있는 다학제적 중재 및 교육프로그램 개발이 중요하다.

• 한국융합학회논문지
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• 제11권4호
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• pp.303-310
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• 2020

본 연구의 목적은 체육수업 상황에서 학생들의 운동능력믿음과 학습열의 및 자기핸디캡 간의 관계를 규명하는 것이다. 이 연구의 목적 달성을 위해 수도권에 소재하고 있는 중학교 4곳의 학생들을 대상으로 편의표본추출법을 이용하여 총 437부를 최종 유효 표본으로 선정하였다. 자료처리는 SPSS 20.0과 AMOS 20.0을 이용하여 전체연구 단위의 적합도 검증을 확인한 후 가설검정을 실시하였으며, 그에 따른 결과는 다음과 같았다. 첫째, 운동능력믿음의 증가된 믿음은 학습열의에 정적으로 영향을 미쳤으며, 고정된 믿음은 학습열의에 유의한 영향을 미치지 않는 것으로 나타났다. 둘째, 증가된 믿음은 자기핸디캡에는 유의미한 영향을 미치는 않는 것으로 나타났고, 반면 고정된 믿음은 자기핸디캡에 정적으로 유의한 영향을 미치는 것으로 나타났다. 셋째, 학생들의 학습열의는 자기핸디캡에 부적인 영향을 미치는 것으로 확인되었다.

• 대한감각통합치료학회지
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• 제5권1호
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• pp.1-20
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• 2007

Objective : The purposes of this study were two-fold; First it investigated self-esteem, stress and coping behaviors of mothers with handicapped children as a function of their and their children's characteristics; Second it examined the relationship among these variables. Method : The subjects were 294 mothers of handicapped children who were receiving treatment in one of the sixteen special therapy institutions in Seoul, Gyeonggi-do, and Gangwon-do. Rosenberg's(1965) Self-Esteem Scale translated by Jeon Byung-Jea(1974) was used to measure the degree of mothers' self-esteem. Mothers' stress was assessed using the Support Burden Scale revised by Seong Jong-sook(2000) and their coping behavior was examined using Folkman's(1986) Coping Scale translated by Jeon Sung-hye. The data were analyzed with descriptive statistics, t-test, one-way ANOVA and Pearson's Correlation. Result : The major results of this study were as follows; First, working mothers of handicapped children showed higher self-esteem and problem solving coping behavior more than non-working mothers. Self-esteem was found higher with high-income mothers than with low-income ones. Stress was shown more intense to low- and middle-income mothers than to high-income ones. Problem solving coping behavior was preferred more by high-and middle-income mothers than by low-income ones. Second, mothers with the mild-handicap children showed higher self-esteem than those with the first-degree handicap ones. Mothers of children with first-, second- and third-degree handicap perceived more stress than those with mild handicap. Coping behavior was significantly different depending on the severity of children's handicap, but no significant difference was found among the groups. Third, the higher the self-esteem of mothers was, the less they perceived stress and used more of problem solving coping behavior. When mothers perceived a great deal of stress, they used more of emotion-oriented coping behaviors.

• 말소리와 음성과학
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• 제4권3호
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• pp.151-159
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• 2012

The purpose of this study is to evaluate the prevalence of voice disorders and the Korean voice handicap index in the elderly. For this study, 169 elderly performed two types of questionnaires and vowel /a/ prolongation. Self-reported voice symptoms and the Korean voice handicap index were analyzed and acoustic voice evaluation was performed by MDVP. The results showed that the prevalence of voice disorders in the elderly are significantly higher than that of adults in self-reports. In acoustic evaluation, 32.2% of the male elderly and 40.9% of the female elderly exceeded the thresholds of Jitter (%), Shimmer (%) and NHR. In addition, Korean voice handicap index scores of the female elderly are significantly higher than those of female adults. These findings indicate the high frequency of voice disorders in the elderly and the need to focus on this group. Additional studies on the voice related quality of life for the elderly are needed.

• 말소리와 음성과학
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• 제2권2호
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• pp.123-133
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• 2010

Speech language pathologists depend on their voice for livelihood and are high risk group of voice disorders. But there are few studies on their prevalence of voice symptoms and voice handicap index. This study aimed to evaluate prevalence of voice symptoms and Korean voice handicap index with 86 speech language pathologists and 90 individuals employed in other occupations. We analyzed self-reported voice symptoms and voice handicap index using a questionnaire for this study. The results showed that the prevalence of voice symptoms of speech language pathologists is 60.5% and voice handicap index scores of speech language pathologists group are significantly higher than those of control group in physical and total score. And we found that alcohol history was a risk factor for voice symptoms. These findings indicate that special vocal hygiene program for speech language pathologists and follow up studies for comparisons of prevalence of voice symptoms and voice handicap index with other professional voice users are necessary.

• 말소리와 음성과학
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• 제7권4호
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• pp.67-76
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• 2015

The purpose of this study was to compare professional (Pro) and non-professional (Non-pro) voice users with voice disorders in self-reporting voice evaluation using Korean-Voice Handicap Index (K-VHI) and Korean-Voice Related Quality of Life (K-VRQOL). In addition, those were compared by voice quality and voice disorder type. 94 Pro and 106 Non-pro were asked to fill out the K-VHI and K-VRQOL, perceptually evaluated on GRBAS scales, and divided into three types of voice disorders (functional, organic and neurologic) by an experienced speech-language pathologist and an otolaryngologist. The results showed that the functional (F) and physical (P) scores of K-VHI in Pro group were significantly higher than those in Non-pro group. As the voice quality evaluated by G scale got worse, the scores of all aspects except emotional (E) of K-VHI and social-emotional (SE) of K-VRQOL were higher. All scores of K-VHI and K-VRQOL in neurologic voice disorders were significantly higher than those in functional and organic voice disorders. In conclusion, professional voice users are more sensitive to their functional and physical handicap resulted by their voice problems and that goes double for the patients with severe and neurologic voice disorders.

• 대한후두음성언어의학회지
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• 제19권2호
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• pp.89-95
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• 2008

주관적 음성평가는 음향분석기기를 이용한 객관적 음성 평가와 함께 음성분석에 유용하고 의미있는 평가방법이며 현재 알려진 검시법정 중에서 GRBAS 음성평가, VHI, patient self-perceptual voice rating이 가장 널리 사용되고 있고 인정받는 방법이다. 주관적 음성평가는 음성의 상태를 모두 대변할 수은 없으며 객관적인 음성평가에 대한 보완적인 의미를 가진다. 현재 개발되어 있는 주관적 음성평가 방법들이 유용한 평가도구이긴 하지만 나름대로의 문제점과 제한점을 가지고 있기 때문에 이에 대한 개선과 보완을 위한 지속적인 연구와 개발이 요구된다.

• 한국노년학
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• 제38권1호
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• pp.1-14
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• 2018

노인성 난청은 일상생활 속 듣기 어려움(hearing handicap)을 유발함으로써 노년기 삶의 질을 저하시킨다. 본 연구에서는 초기 노인성 난청을 보이는 경도인지장애 노년층 40명과, 평균 연령 및 청력을 일치시킨 정상 노년층 40명을 대상으로 K-HHIE 설문을 실시하여 일상생활에서 느끼는 주관적 듣기 어려움 정도를 비교해보고자 하였다. 연구 결과, 첫째, K-HHIE의 사회적/상황적 점수, 정서적 점수, 그리고 총점에서 경도인지장애 노년층 집단이 정상 노년층 집단에 비해 유의하게 높은 점수를 나타내었다. 둘째, K-HHIE의 4개 요인 모두에서 경도인지장애 노년층 집단이 정상 노년층 집단에 비해 유의하게 높은 점수를 보였고, 특히 요인 1(대인관계 및 사회성)에서 집단 간 차이가 두드러졌다. 셋째, 집단에 따라 K-HHIE 문항별 평균 점수가 높은 상위 항목들을 비교한 결과, 경도인지장애 노년층과 정상 노년층 모두 8번 항목(작은 소리 듣기 어려움)과 15번 항목(TV 시청 불편함)에서 가장 많은 어려움을 호소하였으며, 특히, 경도인지장애 노년층은 요인 1에 해당하는 항목인 21번(식당에서 듣기 어려움)과 6번(모임 참석 시 듣기 어려움), 3번(대인기피), 20번(사회생활 제한) 항목들에서 높은 점수를 나타내었다. 본 연구는 초기 노인성 난청자 중에서도 인지장애가 있을수록 일상생활에서 더 많은 듣기 어려움을 호소하며, 특히 다화자 상황이나 배경 소음이 있는 상황에서의 듣기 어려움이 두드러지고, 이는 노년층의 사회활동을 제한시킬 뿐만 아니라 대인기피 등과 같은 정서적 문제를 야기할 수 있음을 확인하였다는 점에서 그 의의가 있다.

• 말소리와 음성과학
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• 제3권3호
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• pp.167-172
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• 2011

The purpose of this study was to examine the relationship between subjective and objective evaluation in speakers with voice disorders. Subjective evaluation indicates the self-reports of voice problems by dysphonic speakers. The relating protocol is the Voice Handicap Index (VHI) and the self-awareness index of voice problems (SAIVP-14). A total of 48 individuals with voice disorders replied to the questionnaire and participated in a voice assessment. Objective evaluations included the perceptual judgement of G grade in GRBAS, acoustic measurements (jitter, shimmer, NHR) by MDVP (CSL 4400), and aerodynamic measurements (MPT, MFR, psub) by PAS (Phonatory Aerodynamic System, KayPentax, USA). Pearson and Spearman correlations were used for the analysis. In the correlation with perceptual judgement (G grade) and VHI-Total, VHI-Physical, and SAIVP-14, there was a significant correlation, but the overall correlation was poor. NHR, jitter, and shimmer were significantly correlated with overall VHI and SAIVP-14. Specifically, the correlation with shimmer was stronger compared to the other measurements. In aerodynamic measures, MFR and MPT showed a significant correlation with VHI-Total, VHI-Emotional, and SAIVP-14, but their correlation was poor. The results of this study suggested that subjective evaluation of self voice problems is meaningfully correlated with objective evaluations, but more data in the multidimensional voice assessment should be collected and analyzed for the reliability and validity of the voice handicap questionnaire.

• 한국치위생학회지
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• 제15권1호
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• pp.55-62
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• 2015

Objectives: The purpose of this study was to investigate the associated factors of self-reported dry mouth in adults. Methods: A self-reported questionnaire was filled out by 249 adults in Seoul and Gyeonggi-do from June to October, 2014. The questionnaire consisted of general characteristics of the subjects, age, monthly income, smoking, alcohol drinking, and systemic diseases including systemic diseases, medication, oral health status, and stress. The question for dry mouth consisted of dryness in skin, eyes, lips, and nasal mucosa. The subjective dry mouth consisted of 6 questions measured by visual analogue scale(VAS). Cronbach's alpha was 0.881 in the study. Oral health related quality of life (OHIP-14) was adapted from Yoon. The questionnaire for OHIP-14 included functional limitation, physical pain, psychological disability, social disability, and experience in hadicap measured by Likert 5 scale. Cronbach's alpha was 0.885 in the study. Data was analyzed for a t-test, one-way ANOVA and multiple regression analysis by using SPSS(SPSS 18.0, USA) program. Results: There were positive correlations between oral health-related quality of life and self-reported dry mouth (functional limitation r=0.288, physical pain r=0.219, psychological discomfort r=0.193, physical disability r=0.280, psychological disability r=0.205, social disability r=0.224 and handicap r=0.270). In the multiple regression analysis, variation of self-reported dry mouth were positively associated with dry eyes{very often(${\beta}=0.305$)), sometimes(${\beta}=0.186$)}, dryness on lips{very often(${\beta}=0.247$), sometimes(${\beta}=0.177$)}, handicap(${\beta}=0.152$), physical disability(${\beta}=0.128$) and alcohol drinking(1-2 times/week)(${\beta}=0.116$) (p<0.001). Conclusions: Self-reported dry mouth may cause deterioration of the entire body dryness(dryness on eyes and lips), low oral health-related quality of life(handicap and physical disability) and alcohol drinking. Thus, It is necessary to develop oral health education programs to prevent and manage dry mouth in adults.