• 대한간호학회지
• /
• 제49권5호
• /
• pp.526-537
• /
• 2019

Purpose: The aim of this study was to evaluate the validity and reliability of the Korean version of the Clinical Teaching Behavior Inventory (CTBI). Methods: The English CTBI-23 was translated into Korean with forward and backward translation. Survey data were collected from 280 nurses' preceptors at five acute-care hospitals in Korea. Content validity, construct validity, and criterion-related validity were evaluated. Cronbach's ${\alpha}$ was used to assess reliability. SPSS 24.0 and AMOS 22.0 software was used for data analysis. Results: The CTBI Korean version consists of 22 items in six domains, including being committed to teaching, building a learning atmosphere, using appropriate teaching strategies, guiding inter-professional communication, providing feedback and evaluation, and showing concern and support. One of the items in the CTBI was excluded with a standardized factor loading of less than .05. The confirmatory factor analysis supported good fit and reliable scores for the Korean version of the CTBI model. A six-factor structure was validated ($x^2=366.30$, p<.001, CMIN/df=2.0, RMSEA=.06, RMR=.03, SRMR=.05, GFI=.90, IFI=.94, TLI=.92, CFI=.94). The criterion validity of the core competency evaluation tool for preceptors was .77 (p<.001). The Cronbach's ${\alpha}$ for the overall scale was .93, and the six subscales ranged from .72 to .85. Conclusion: The Korean version CTBI-22 is a valid and reliable instrument for identifying the clinical teaching behaviors of preceptors in Korea. The CTBI-22 also could be used as a guide for the effective teaching behavior of preceptors, which can help new nurses adapt to the practicalities of nursing.

• 사상체질의학회지
• /
• 제24권2호
• /
• pp.1-7
• /
• 2012

1. Objectives : In Sasang constitutional medicine, it has been known that diagnosing Sasang constitution correctly is mostly important. We had developed an Integrated Sasang Constitutional Analysis Tool (SCAT) ${\beta}$-version using face, voice, body shape and questionnaire before. The purpose of this study is to suggest whether SCAT ${\beta}$-version is reliable or not. 2. Methods : We collected 371 subjects from 6 oriental medical clinics. We analyzed the Sasang constitutional diagnostic results using Kappa and coincidence rates between experts in Sasang constitution and SCAT ${\beta}$-version which was developed on the basis of face, body shape, voice and characteristics and symptom questionnaire data. 3. Results : The agreement rates between SCAT ${\beta}$-version and experts was 69.3% in total, and 73.2%, in Taeeumin, 70.8% in Soeumin, and 56.9% in Soyangin in detailed. The Kappa was 0.510 (p value<.000). There was an increasing trend of agreement rates and kappa value corresponded to increasing constitutional probability. When The constitutional probabilities were changed from below 40%, to over 40%, 50%, 60%, the agreement rates corresponded from 50.8% to 79.5%, 91.4%, 95.7% respectively. 4. Conclusions : A SCAT combined with a constitutional probability seemed to help experts to diagnose a patient's Sasang constitution correctly.

• 수면정신생리
• /
• 제26권1호
• /
• pp.33-43
• /
• 2019

목 적 : 양극성 장애 환자의 기능은 증상의 심각도, 약물 순응도, 수면의 질, 사회적 지지와 관련되어 있다고 알려져 있다. 본 연구에서는, 정신사회적 요인들과 인구학적 요인들이 양극성 장애 환자의 기능 상태와 갖는 연관성에 대해 알아보고자 하였다. 방 법 : 본 연구에서는 양극성 장애 환자 52명을 대상으로 하였다. 다음과 같은 임상적 척도들이 수행되었다: 한국판 personal and social performance scale (K-PSP), 한국판 Hamilton rating scale for depression (K-HDRS), 한국판 young mania rating scale (K-YMRS), 한국판 Pittsburgh sleep quality index (PSQI-K), 한국판 drug attitude inventory (K-DAI), mood disorders insight scale (MDIS), multidimensional scale of perceived social support (MSPSS). 연구 대상의 기능 상태와 임상적 변수들 간의 관계는 상관 분석을 사용하여 분석하였고, 이어 다중 선형 회귀분석을 시행하였다. 결 과 : 전체 K-PSP 점수의 평균은 $57.92{\pm}13.76$이었다. 전체 K-PSP 점수는 K-HDRS 점수와는 음의 상관관계를 나타냈다(r = -0.387, p = 0.005). 반면, K-YMRS 점수와 전체 K-PSP 점수는 통계적으로 의미 있는 관계가 도출되지 않았다(r = -0.205, p = 0.145). 전체 K-PSP 점수는 PSQI-K 총점(r = -0.378, p = 0.005) 및 전반적인 수면의 질(r = -0.353, p = 0.010)과 음의 상관관계를 나타냈다. 전체 K-PSP 점수는 KDAI 점수(r = 0.409, p = 0.003) 및 총 MSPSS 점수(r = 0.334, p = 0.015)와는 양의 상관관계를 보였다. 전체 K-PSP에 대하여 설명 가능한 변수들은 PSQI-K 중 전반적인 수면의 질과 MSPSS 중 가족에 의한 지지였다(adjusted $R^2=28.3%$). 결 론 : 본 연구에서는 우울 증상이 심할수록, 전반적인 수면의 질이 낮을수록, 약물에 대해 부정적으로 인식할수록, 사회적 지지가 적을수록 양극성 장애 환자의 기능 수준이 저하된다는 결과를 제시해주었다. 양극성 장애 환자의 기능 상태는 환자가 보고하는 전반적인 수면의 질과 가족에 의한 사회적 지지를 통해 예측 가능하므로, 환자의 수면 만족도를 증진시키고 가족에 의하여 적절한 지지를 제공하는 것이 양극성 장애 환자의 기능 회복과 사회적 복귀에 있어서 중요한 부분이라고 시사된다.

• Journal of Oral Medicine and Pain
• /
• 제44권1호
• /
• pp.16-24
• /
• 2019

Purpose: The purpose of this study was to assess the association of personality characteristics with temporomandibular disorders (TMDs). Methods: Four hundred and fifty one college students in Gyeonggi-do completed the revised version of the Minnesota Multiphasic Personality Inventory (MMPI-2) and a questionnaire and collected data were analyzed by IBM SPSS Statistics ver. 25.0 software (IBM Co., Armonk, NY, USA). Results: Mean values of the number of positive answers of TMD symptoms were significantly higher in higher scorers on hypochondriasis (Hs), depression (D), paranoia (Pa) (Hs>60, D>64, Pa>59) (p<0.01). Higher scorers on Hs, hysteria (Hy), schizophrenia (Sc), Pa, psychasthenia (Pt) (Hy>64, Sc>64, Pt>64) exhibited significantly higher mean values of the number of positive answers of contributing factors for TMD (p<0.01, p<0.001). Low scorers on social introversion ($Si{\leq}44$) exhibited significantly lower mean value of the number of positive answers of contributing factors for TMD than high or moderate scorers on Si (Si>64, 45-64) (p<0.01, p<0.05). The percentage of subjects who responded that they had at least one TMD symptom was significantly higher in higher scorers on Hs, Pt, D (p<0.05, p<0.01). The significantly higher percentage of higher scorers on D, Pa reported at least one contributing factor for TMD (p<0.05). The percentage of subjects who responded that they had at least one TMD symptom or one contributing factor for TMD was significantly different among three groups divided by T-score on Si (p<0.01, p<0.05). T-scores of Hs, D, Hy, Pt and Sc showed significant correlation with the numbers of TMD symptoms and contributing factors for TMD, respectively (p<0.001). A correlation was found between T-score of Pd and the number of TMD symptoms (p<0.001). T-score of Si correlated to the number of contributing factors for TMD (p<0.001). Conclusions: Most clinical scales of MMPI-2 were found to be related to TMD. Psychological assessment including MMPI-2 may play a role in predicting treatment outcome and planning treatment of TMD.

• 대한한의학회지
• /
• 제37권4호
• /
• pp.22-29
• /
• 2016

Objectives: We developed a Korean translation of this questionnaire by sequential forward-and-backward translation. The purpose of this study is to validate the Korean version of the POEM, the "POEM-K" by Korean patients with atopic dermatitis (AD). Methods: A single-center prospective study was conducted with 50 participants diagnosed with AD. The POEM was translated to Korean version by an expert panel. Scoring Atopic Dermatitis (SCORAD) and Short Form 36 Health Survey (SF-36) were used as external comparators. Results: Twenty men and thirty women between the ages of 18 and 63 participated in the study. The test-retest reliability of the total POEM-K was estimated using the intra-class correlation coefficient (ICC) that showed a strong agreement (ICC = 0.72). By using Pearson correlation coefficients, we compared the POEM-K to SCORAD and yielded a concurrent validity that showed a significant result. The responsiveness of the POEM-K was represented by the effect size (ES) of 1.41 and statistically significant (p = 0.004). Conclusions: The Korean version of the POEM is a reliable, valid, and responsive disease-specific questionnaire for assessing the symptoms and quality of life of Korean patients with AD.

• Tuberculosis and Respiratory Diseases
• /
• 제74권6호
• /
• pp.256-263
• /
• 2013

Background: Health status measure is not only important for clinical research studies but also for clinical practices of chronic obstructive pulmonary disease (COPD) patients. The objective of this study is to evaluate the validity of the Korean Version of COPD Assessment Test (CAT) in primary care clinics as well as in referral hospitals. Methods: Smokers or ex-smokers, aged 40 years or older, with a smoking history of >10 pack-years; and a COPD diagnosis in the past 6 months or more, were recruited from 4 primary care clinics and 2 referral hospitals. Demographic, medical, and spirometry data was collected from patients who completed the CAT and St. George Respiratory Questionnaire (SGRQ), and had their dyspnea been assessed. The primary endpoint was the correlation between of the Korean version of CAT with SGRQ in patients with COPD. Results: A total 100 patients were enrolled. The mean age and smoking amounts were $69.2{\pm}8.4$ years and $40.6{\pm}22.3$ pack-years, respectively. Sixty-seven percent of the patients reported at least one exacerbation in the past year. The mean CAT score was $16.9{\pm}8.0$. The internal consistency assessed by Cronbach's alpha was 0.85. The CAT score was positively correlated with the SGRQ score (r=0.76, p<0.0001) and each component of SGRQ: symptoms, activity and impacts; r=0.68, r=0.61, and r=0.72, respectively (all p<0.0001). These positive correlations were preserved in the different groups (r=0.86, p<0.0001 in primary care clinic group; r=0.69, p<0.0001 in hospital group). The CAT score was also positively correlated to the Medical Research Council dyspnoea scale (r=0.46, p<0.0001). Conclusion: The Korean version of CAT had good internal consistency and showed good correlations with SGRQ. It can be used for assessing the impacts of COPD on the patient's health including primary care setting.

• 정신신체의학
• /
• 제17권1호
• /
• pp.23-29
• /
• 2009

연구목적 : 본 연구에서는 주의집중력이 저하된 아동에게 뉴로피드백 훈련이 주의집중력의 향상에 효과가 있는가를 알아보고, 더 나아가 과잉행동(hyperactivity)과 충동성(impulsivity)의 호전에 효과가 있는가를 알아보고자 하였다. 방법 : 본 연구에서는 주의집중력이 저하된 아동 20명을 대상으로 각 아동별로 뉴로피드백 C3-A1 프로토콜을 15~20회 시행하였으며, 뉴로피드백 시행 전과 후의 주의집중력 정도를 ADHD Rating Scale-IV : Parent Version(ARS)과 Attention Deficit Disorder Evaluation Scale-Home Version(ADDES-HV)을 이용하여 비교하였다. 결과 : ARS 점수는 뉴로피드백 시행 전 inattention 소척도 평균 점수 14.2점에서 20회 시행 후의 평균 점수 8.8점으로 유의하게(p<0.05) 감소하였으며, impulsivity/hyperactivity 소척도의 평균 점수는 13.3점에서 7.1점으로 유의하게 감소하였다. ADDES-HV의 경우는 뉴로피드백 시행 전 inattention 소척도 평균 점수 34.8점에서 20회 시행 후의 평균 점수 20.7점으로 유의하게 감소하였으며(p<0.05), impulsivity 소척도는 22.5점에서 12.7점, hyperactivity 소척도는 18.8점에서 9.9점으로 유의하게 감소하였다. 이 점수들은 대개 10~15회 시점부터 유의하게 변화하기 시작하였다. 결론 : 뉴로피드백 치료를 통하여 아동의 주의집중력, 과잉행동, 충동성이 호전되었으며, 이는 뉴로피드백이 주의력 향상, ADHD의 치료에 한 방법이 될 수 있는 가능성을 시사하고 있다.

• 말소리와 음성과학
• /
• 제6권3호
• /
• pp.3-12
• /
• 2014

Larynx plays an important role in phonation and protection of the respiratory tract during swallowing. The reduced anatomical and physiological function in elevation of larynx and glottis closure can cause problems in voice and swallowing. The present study investigated the Korean version of handicap index of dysphagia in elderly Koreans. Therefore, 60 normal elderly Koreans ranged from 65 to 95 and 20 normal Korean young adults aged from 20 to 25 were participated in this study to compare total (T), physical (P), functional (F), and emotional (E) index scores between two groups as well as among sub groups (60s, 70s, 80s) in elderly. For swallowing, total and sub dysphagia handicap index (DHI) scores, voice quality during /a/phonation following swallowing (saliva and water), intensity of coughing, and L-DDK were measured. The results showed that functional (P), physical (P), emotional (E) scores as well as total (T) score were significantly different between young adults and old adults in DHI(p<.05). Additionally, there was a negative correlation between total DHI score and intensity of coughing (r=-.51) as well as L-DDK (r=-.70). These findings suggest that a slow rate in vocal fold adduction and reduced intensity of coughing in the elderly affect swallowing function. Thus, recently translated Korean version of DHI may be useful as supplement in evaluating the swallowing problems in elderly people.

• 한국전산구조공학회:학술대회논문집
• /
• 한국전산구조공학회 1991년도 가을 학술발표회 논문집
• /
• pp.75-80
• /
• 1991

The purpose of this study is to ascertain the robustness of p-version model with hierarchic intergrals of Legendre shape functions in various applications including plane stress/strain, axisymmetric and shell problems. The most important symptoms of accuracy failure in modern finite elements are spurious mechanisms and a phenomenon known as locking which are exhibited for incompressible materials and irregular shapes which contain aspect ratios(R/t, a/b), tapered ratio(d/b), and skewness. The condition numbers and energy norms are used to estimate numerical errors, convergence characteristics and algorithmic efficiencies for verifying the aforementioned symptoms of accuracy failure. Numerical results from p-version models are compared wi th those from NASTRAN, SAP90, and Cheung's hybrid elements.

• 한국산학기술학회논문지
• /
• 제4권2호
• /
• pp.87-95
• /
• 2003

Dynamic Programming Matching (DPM)은 순차적으로 구성된 문제를 수학적으로 최적화 시키는 기술로서 패턴인시 분야에서 다년간 중요한 역할을 해왔다. 서명인식을 위한 대부분의 실제적 적용에서는 Sakoe and Chiba [9]의 실제구현 버전이 기반이 되어 왔는데, 일반적으로 slope constraint p = 0의 방법이 적용되어 왔다. 이 논문에서는 이 경우에는 전진탐색에 의한 휴리스틱한 방법을 적용한 MDPM이 상당한 처리시간의 단축 뿐만 아니라 약간의 인식능력 향상을 가질 수 있음을 보여준다.