• 제목/요약/키워드: clinical scales

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아동용 Luria-Nebraska 신경심리검사의 한국 표준화를 위한 예비연구 (A Preliminary Study for a Korean Version of the Luria-Nebraska Neuropsychological Battery-Children's Revision)

  • 강차연
    • 아동학회지
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    • 제13권2호
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    • pp.203-216
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    • 1992
  • The purpose of this study was to investigate the utility of the Luria-Nebraska Battery-Children's Revision (LNNB-CR) in the clinical situation in Korea: LNNB-CR was applied clinically in order to examine how well it differentiates brain damaged children from normals. Subjects were 30 children with the average age of 10 years. Among them 15 were diagnosed as the 'brain damaged' group, and the remaining 15 were normal. All subjects of the two groups were tested on all items in accordance with LNNB-CR manual. Data were analyzed by percentage, correlation coefficient, and t-test. The results were (1) the degree of consistency between testers averaged 97.2% which confirmed the stability of the scoring system. (2) Split-half reliability was ranged from .75 on the Tactile Scale (C3) to .95 on the Memory Scale (C10). Thus, consistency of items within the scales appeared high. (3) Internal consistency reliability ranged from .74 on the Visual Scale (C4) to .98 on the Reading Scale (C9). Thus, the homogenity of items within the scales appeared high. (4) In the diagnostic discriminative power test between the two groups, both individual scales and total scores showed significant differences at the level of p<.001. (5) The discriminative power test between two groups on all items showed significant differences at the level of p<.05 or better in 126(85%) out of 149 items. These results are supportive of the diagnostic utility of the application of LNNB-CR to the clinical situation in Korea. However, extensive additional research is needed in order to prove its worth.

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Clinical Criteria to Perform the Step through Step Gait with a Cane in Chronic Stroke Patients

  • Kim, Won-Bok;Lee, Jung-Ho
    • 대한물리의학회지
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    • 제9권3호
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    • pp.285-291
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    • 2014
  • PURPOSE: The purpose of this study was to propose clinical criteria to differentiate patients who are able to perform the step-through-step gait pattern in chronic stroke patients. METHODS: Sixty patients with chronic stroke patients participated this study. To differentiate patients who could perform the step-through-step gait pattern, age, gender, and causes of stroke were noted, a Chedoke-McMaster (CM) damage list, Fugl-Meyer (FM) assessment scales and the Berg Balance Scale (BBS) were determined. A 10 meter gait test and Timed Up and Go (TUG) test were conducted to determine the differences in gait speed and dynamic balance between patients walking with or without canes in the step-through-step gait pattern group. RESULTS: There was no significant statistical difference in age, gender, and stroke type between all subjects. There were significant differences in the CM scale for postural and lower extremities, and FM scale for lower extremities and BBS. The dynamic balance ability and gait speed showed significant differences between the subjects in the step-through-step gait pattern with or without a cane during gait. CONCLUSION: CM and FM scales for the lower extremities and postural control, as well as BBS scales, can be used as criteria to differentiate patients who are able to perform the step-through-step gait pattern. These results can also be used to provide beneficial information to patients that are walking with canes.

우울, 불안 척도를 통해 살펴본 우울증 환자에 대한 한의학적 치료 효과에 대한 연구 (Clinical Effects of Korean Medical Treatment on Depressive Disorder using Depression and Anxiety Scales)

  • 안윤영;김락형;유종호
    • 동의신경정신과학회지
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    • 제33권3호
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    • pp.317-327
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    • 2022
  • Objectives: To examine clinical effects of Korean medical treatment on depressive disorder. Methods: Medical records of 102 patients diagnosed with depressive disorder who were treated with Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 12 weeks and measured psychological scales (Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI)) every 4 weeks were analyzed. Results: After 12 weeks of treatment, BDI-II, STAI-X-1/2, BAI, and STAXI-S/T all decreased statistically significantly. STAI-X-1 and BAI were significantly decreased throughout the treatment interval (comparisons every 4 weeks). The other four scales decreased significantly from 0 to 4 weeks and from 8 to 12 weeks. Conclusions: Treatment for depressive disorder with Korean Medicine was effective not only in improving overall symptoms of depressed patients, but also in improving accompanying anxiety, anger, and physical symptoms. In addition, since all scores were gradually decreased, continuous treatment would be important.

Reliability and Validity of Turkish Versions of the Child, Parent and Staff Cancer Fatigue Scales

  • Gerceker, Gulcin Ozalp;Yilmaz, Hatice Bal
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권7호
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    • pp.3135-3141
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    • 2012
  • This study was designed to adapt the Turkish versions of scales to evaluate fatigue in children with cancer from the perspectives of the children, parents and staff. The objective of this study was to validate "Child Fatigue Scale-24 hours" (CFS-24 hours), "Parent Fatigue Scale-24 hours" (PFS-24 hours) and "Staff Fatigue Scale-24 hours" (SFS-24 hours) for use in Turkish clinical research settings. Translation of the scales into Turkish and validity and reliability tests were performed. The validity of the translated scales was assessed with language validity and content validity. The reliability of the translated scales was assessed with internal consistency. The scales were evaluated by considering the following: calculation of the Cronbach alpha coefficient for parallel form reliability with 52 pediatric cancer patients, 86 parents and 43 nurses. The internal consistency was estimated as 0.88 for the Child Fatigue Scale-24 hours, 0.77 for the Parent Fatigue Scale-24 hours, and 0.72 for the Staff Fatigue Scale-24 hours (Cronbach's ${\alpha}$). The Turkish version of the Child Fatigue Scale -24 hours, the Parent Fatigue Scale -24 hours and the Staff Fatigue Scale -24 hours were judged reliable and valid instruments to assess fatigue in children and showed good psychometric properties. These scales should assist in understanding to what extent initiatives can minimize or eliminate fatigue. Our scales are recommended for further studies and use in pediatric oncology clinics as routine measurements and nursing initiatives should be planned accordingly.

수지말단(手指末端) 체온(體溫)과 인성검사(人性檢査)와의 상관성(相關性)에 관(關)한 연구(硏究) (A Study on the Correlation between the Fingertip's Temperature and MMPI)

  • 윤상희;류희영
    • 동의신경정신과학회지
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    • 제3권1호
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    • pp.46-55
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    • 1992
  • This clinical study aims to find out the effect of the fingertip's temperature and beverage-taking on the personality test by MMPI (Minnesota Multiphasic Personality Inventory). This is based on the sample survey on the 5 groups ; two or more-veined-handed group (15 persons), one-veined-handed group (22 persons), non-veined-hanede group(13 persons), beverage-taking group (41 persons) and beverage-non-taking group (14 persons). The result was obtained as follows ; 1. In the comparative examination on the two or mire-veined-haned group and the non-veined-handed group, there was significant difference of the temperature between the scale D and the scales of Mf, Pa, Pt, and Sc. 2. For the scales of Hs, D, Hy and the scales of Pd, Pa, Pt, Sc, the one-veined-handed group showed higher T-scores and lower fingertip's temperature than the non-veined-handed group without singnificant difference between them. 3. For the scales of D, Hy and the scales of Pd, Pa, Pt, Sc, the beverage-taking group showed higher T-scores and lower fingertip's temperature than the beverage-non-taking group without significant difference between them. As a result, I could find that low temperature on the fingertip, protruded vein on three knuckles(三關) of the finger and beverage-taking would cause the blood-extravasation(血瘀) and the lack of the transports in the spleen(脾不運化) and have an influence on Neurosis and Psychosis.

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임상아동 어머니의 성격특성과 어머니가 지각한 자녀의 성격특성간의 관계 (Relationship Between the Characteristics of Mother's Personality and Their Perception of Clinical Children's Personality)

  • 장정백
    • 한국생활과학회지
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    • 제19권6호
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    • pp.993-1002
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    • 2010
  • This study sought to determine wether the reliability of the KIP-C is affected by mothers' scores on of MMPI. Particiapants in this study were 100 mothers whose children visited the a children's psychiatric hospital. They were sorted into two groups; diagnosis consistent group and diagnosis inconsistent groups. the diagnosis inconsistent group showed significantly higher scores on L(p<.001) and K(p<.001) scales, while the diagnosis consistent group had higher scores on F, Ma and Si scales. When comparing the KPI-C of the groups, the diagnosis consistent groups showed significantly higher scores in ANX, SOM and HPR scales(p<.05). A correlation analysis of the validity scales of MMPI and the scales of KPI-C also showed significant correlation. It was also shown that the characteristics of the mothers' personality have important effects on their perception of their children's problems. In particular, the stronger the mothers defensive characteristics, the lower the reliability of their perception of their children's problems. Reciprocally, reliability was higher when the mothers acknowledged their problems.

외상중환자의 욕창 위험사정 도구의 타당도 비교 (Predictive Validity of Pressure Ulcer Risk Assessment Scales among Patients in a Trauma Intensive Care Unit)

  • 최자은;황선경
    • 중환자간호학회지
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    • 제12권2호
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    • pp.26-38
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    • 2019
  • Purpose : The aims of this study were to identify the incidence of pressure ulcers and to compare the predictive validities of pressure ulcer risk assessment scales among trauma patients. Methods : This was a prospective observational study. A total of 155 patients admitted to a trauma intensive care unit in a university hospital were enrolled. The predictive validity of the Braden, Cubbin & Jackson, and Waterlow scales were assessed based on the sensitivity, specificity, positive and negative predictive values, and area under the receiver operating characteristic curve (AUC). Results : Of the patients, 14 (9.0%) subsequently developed pressure ulcers. The sensitivity, specificity, positive predictive values, and negative predictive values were 78.6%, 75.9%, 24.4%, and 97.3%, respectively, for the Braden scale (cut-off point of 12); 85.7%, 68.8%, 21.4%, and 98.0%, respectively, for the Cubbin & Jackson scale (cut-off point of 26); and 71.4%, 87.2%, 35.7%, and 96.9%, respectively, for the Waterlow scale (cut-off point of 18). The AUCs were 0.88 (Waterlow), 0.86 (Braden), and 0.85 (Cubbin & Jackson). Conclusion : The findings indicate that the predictive validity values of the Waterlow, Braden, and Cubbin & Jackson scales were similarly high. However, further studies need to also consider clinical usefulness of the scales.

틱 장애에서 습관뒤집기 훈련의 임상효과 (Habit Reversal Training in Tic Disorder)

  • 홍종우;도진아;김현우;임명호
    • 대한불안의학회지
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    • 제6권1호
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    • pp.24-30
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    • 2010
  • Objectives : Tic disorder is known to be a chronic neuro-behavioral disease, cognitive behavioral treatment (CBT) strategies, like habit reversal training (HRT), are introducing recently. We report the effectiveness of HRT in Tourette disorder, which are very common in clinical settings. Methods : The DSM-IV clinical diagnosis applied by child psychiatrist. YGTSS, Kovac's children's depression inventory, Spielberger State-Trait Anxiety Inventory, Abbreviated Conners' Rating Scales, Dupaul ADHD Rating Scales are used. Ultimately, totally 10 children were evaluated. Subject group are consist of 6 boys and 4 girls, and the mean age was $10.90{\pm}1.73$ years old. This study is treatment-refractory 10 patients (from 9-14 years old) though 1 years drug treatment and psychiatric consultation were taken. We administered 5 times of HRT for 4 weeks. Results and Conclusion : There were improvement of scores in Yale Global Tic Severity Scale, Clinical Global Improvement. Our observations indicate that HRT might be effective in the treatment of Tourette disorder.

걸음마기 아동의 정신건강 위험요인 선별척도의 개발 및 타당화 (The Development and Validation of a Scale for the Mental Health Screening of Toddlers)

  • 이정화;이소희
    • 아동학회지
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    • 제27권2호
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    • pp.195-213
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    • 2006
  • Development of the 3 scales comprising the present research was based on review of literature, existing screening scales, and empirical research pertaining to (Scale I) the development of social and emotional problems of children, (Scale II) parent-child relations, and (Scale III) assessment of children's environment. Professionals in each area approved a draft of the new screening scale. The clinical group was classified into normal and at-risk groups based on the Denver II scale and the Child Behavior Check List(ages 1.5-5). The clinical groups were administered the newly developed screening scale to see whether the same classification pertained. Results proved the cross-validity of the new scale.

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Study on Attitudes of Occupational Therapy Students Toward Disabled Individuals

  • Lee, Hye-Sun
    • International Journal of Advanced Culture Technology
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    • 제6권4호
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    • pp.158-164
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    • 2018
  • The object of this study is to explore the attitudes of occupational therapy students and "general students" (who study in different areas other than occupational therapy) towards people with disabilities, and to examine the causing factors of positive and negative attitudes toward people with disabilities by using Disability Factor Scales (DFS). According to the result of the study using the Disability Factor Scales (DFS), it indicates that the attitudes of the occupational therapy students were more positive than those of "general students" from other departments. In the case of score differences among occupational therapy students by class standing, seniors who experienced clinical practice showed a less favorable attitude toward the disabled than freshmen, so it is necessary to develop clinical practice and an occupational therapy curricula that incorporate patient-centered treatment rather than therapist-centered education with simple physical contact or illness problems.