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이해정,송주민,Lee, Haejung,Song, Jumin 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.5
Purpose: The purpose of this study was to translate and culturally adapt the International Classification of Functioning, Disability and Health (ICF) into the Korean language. Methods: The process of translation and adaptation of the ICF used here followed the translation guidelines of WHO. Implementation of this procedure comprised of four steps; forward translation, expert panel back-translation, pre-testing and cognitive interviewing, and final adaptation. The translators included health professionals with knowledge of ICF and non-health professionals blinded to the ICF. Clinical academics with significant experience in the use of disability survey, medical doctors, special educators, related policy makers, clinicians, architecture professionals, and international experts in ICF were invited to integrate all versions of the ICF for testing; 151 clinicians volunteered from 19 medical institutes across the country. Four different core-sets and a questionnaire were used for testing its practical usability and adaptation. Results: All translations were reviewed and a consensus was reached on any discrepancy from the earlier versions. Over 90% of the newly translated version of K-ICF was found to be different from the 2004 K-ICF version in the ICF language. Understanding of K-ICF language was responded difficult and very difficult by 50% of participants, whereas its practical use was responded 'useful' by more than 50% of subjects. Conclusion: It can be suggested that the new version of K-ICF should be widely used for final adaptation in the field of areas. Future studies will be required for implementation of K-ICF.
제2형 당뇨병 환자의 당뇨합병증에 대한 비약물적 중재효과 : 체계적 문헌고찰 및 메타분석
이해정(Haejung Lee),이미순(Misoon Lee),박가은(Gaeun Park),하주영(Ju-Young Ha) 한국자료분석학회 2020 Journal of the Korean Data Analysis Society Vol.22 No.4
본 연구는 제2형 당뇨병 환자에게 제공한 비약물적 중재의 만성합병증에 대한 효과를 보고한 연구를 체계적으로 검토하고, 비약물적 중재의 만성합병증에 대한 효과크기를 분석한 메타분석연구이다. 검색전략 수립 후 학술 데이터베이스를 통해 검색된 총 3,235편의 논문 중 선별 과정을 통해 최종 14편을 분석하였다. 결과값에 대한 효과크기는 연속형 자료는 표준화된 평균차(standardized mean difference, SMD)로, 이분형 자료는 교차비(odds ratio, OR)로 분석하였다. 본 연구 결과 유의한 중재효과가 있는 것으로 나타난 합병증은 심혈관으로 인한 사망률(OR=0.51, 95% CI: 0.28, 0.92, Z=2.23, p=.030), 심근경색(OR= 0.60, 95% CI: 0.42, 0.85, Z= 2.83, p=.005), 심재혈관화(OR=0.42, 95% CI: 0.18, 0.97, Z=2.03, p= .040)이었다. 본 연구에서 비약물적 중재의 효과를 분석한 결과 다학제팀이 협력하여 제공한 중재가 합병증발생을 감소하는 것으로 나타났으며, 다학제팀으로 구성한 중재팀의 각 전문영역 별 꾸준한 장기적인 관리는 당뇨합병증 발생가능성을 최소화 할 수 있음을 알 수 있었다. 추후 한국지역사회기반 중재프로그램의 개발과 장기적 코호트연구를 통해 중재프로그램의 장기효과검증이 활발히 진행되어야 할 것이다. Purpose: The purpose of this study is to analyze the effect size of non-pharmacological intervention on diabetic complication in patients with type 2 diabetes, using systemic review and meta-analysis. Method: A systematic search was conducted using eight core electronic databases and 14 studies out of 3,235 studies were included in the meta-analysis. Results: The diabetic complication that showed a significant change as a result of long-term follow-up over 10 years was mortality due to cardiovascular (OR=0.51, 95% CI: 0.28, 0.92), myocardial infarction (OR=0.60, 95% CI: 0.42, 0.85), and cardiac revascularisation (OR=0.42, 95% CI: 0.18, 0.97). Conclusion: The findings of this study showed the importance of non-pharmacological intervention in managing diabetic complication among patient with type 2 diabetes. Most effective intervention was individualized approach utilizing interdisciplinary collaborative team. Through this study, it was confirmed that non-pharmacological intervention with long-term interaction between patients and intervention team synergies medical treatment resulting in reduced risk of diabetic complication.
이해정(Lee, Haejung),장준희(Jang, Jun Hee),이성화(Lee, Sung Hwa),전국진(Chun, Kook Jin),김종현(Kim, Jong Hyun) 기본간호학회 2015 기본간호학회지 Vol.22 No.1
Purpose: The purpose of this study was to examine levels of self-care behavior according to levels of depression among patients with heart failure (HF). Methods: Participants in this descriptive research were 169 outpatients with HF who being seen in three university hospitals and one general hospital located in B, Y, and D cities. Data were collected using the Korean version of the Center for Epidemiologic Depression Scale and European Heart Failure Self-care Behavior Scale. Data collection period was from April 25, 2012 to September 26, 2013. Data were analyzed using Chi-square tests and ANOVAs with SPSS WIN 21.0. Results: A higher proportion of patients who were female, without a spouse, with lower household income, not employed, and having lower functional status with serious symptoms of HF tended to be clinically depressed. HF patients with depression tended not to report symptom changes to their health care providers. Conclusion: The findings of this study indicate the need to screen for depression in patients with HF and to develop strategies to improve self-care behaviors in these patients in order to promote reporting of symptom changes to health care providers.
만성폐쇄성폐질환자의 수면장애, 신체활동 및 건강관련 삶의 질
이해정(Haejung Lee),임연정(Yeonjung Lim),정희영(Hee Young Jung),박혜경(Park, Hye-Kyung) 한국노년학회 2011 한국노년학 Vol.31 No.3
목적: 본 연구는 만성폐쇄성폐질환(Chronic Obstructive Pulmonary Disease, COPD) 환자의 신체활동, 수면장애, 건강관련 삶의 질 간의 관련성을 검정하기 위해 수행되었다. 방법: 본 연구는 COPD 환자의 증상관리중재연구의 사전 조사 자료를 이용한 서술적 조사연구이다. 성 조지 호흡기계 설문지, 국제신체활동 설문지, 만성폐쇄성 폐질환과 천식의 수면영향 설문지를 이용하여 6개의 병원에서 자료수집이 이루어 졌으며, 총 245명이 분석에 포함되었다. 대상자의 특성, 대상자의 신체활동, 수면장애, 건강관련 삶의 질의 수준 및 연구 개념간의 관련성을 확인하기 위해 서술적 통계, ANOVA, Pearson 상관분석, 회귀분석이 SPSS WIN 18.0 프로그램을 통해 이루어졌다. 결과: 대상자의 건강관련 삶의 질과 수면장애의 평균(표준편차)은 각각 36.04(19.43)과 14.33(6.20)이었다. 대상자의 32%가 비활동적인 것으로 나타났다. 다변량적 접근에서 수면장애가 심하고(β=.27), FEV1 % predicted가 낮고(β=-.23), 신체활동량이 적고(β=-.19), 가정의 총수입이 낮고(β=-.16), COPD 진단을 받은 지 5년 이상(β=.14)이 된 대상자들에게서 유의하게 삶의 질이 낮았다(R2=.34). 결론: 본 연구결과는 COPD 환자의 삶의 질 향상을 위한 중재방안으로 수면의 질 향상과 신체활동량 증진이 효과적일 수 있음을 제시하며 이들 중재프로그램의 효과검증이 추후 필요하다 하겠다. Purpose The purpose of this study was to examine the relationship between physical activities, sleep disturbance, and health related quality of life (HRQOL) in patients with chronic obstructive pulmonary disease (COPD). Methods A descriptive survey design used pretest dataset of COPD symptom management intervention study (N=245). Measures included the international physical activity questionnaire, the COPD and asthma sleep impact scale, and the St. George's respiratory questionnaire of HRQOL. The data were analyzed using descriptive analysis, t-test, ANOVA, Pearson correlation coefficients, and simultaneous multiple regression by the SPSS WIN 18.0 program. Results The mean scores (SD) of HRQOL and sleep disturbance were 36.04 (19.43) and 14.33 (6.20), respectively. About 32% of participants were physically inactive. The multivariate approach showed the patients who have more sleep disturbance (β=.27), lower levels of FEV1 % predicted (β=-.23), lower physical activities (β=-.19), lower household income (β=-.16), and diagnosed longer than 5 years (β=.14) reported lower HRQOL (R2=.34). Conclusion The findings of this study suggest that improving the quality of sleep and physical activities can be efficient strategies for HRQOL in patients with COPD. Future research in enhancing HRQOL through improving sleep quality and physical activities is needed.
폐절제술을 받은 폐암환자의 영양섭취 상태와 수술 후 폐합병증
이선혜(Lee Seon Hye),이해정(Lee Haejung),현수경(Hyun Sookyung),이미순(Lee Mi Soon),김도형(Kim Do Hyung),김영대(Kim Yeong Dae) 한국기초간호학회 2021 Journal of korean biological nursing science Vol.23 No.1
Purpose: The aim of this study was to examine the nutritional intake status of the lung cancer patients who underwent pulmonary resection and to analyze the relationship between the status of the nutritional intake and the occurrence of postoperative pulmonary complications. Methods: This study was a secondary analysis to determine whether the changes in the nutritional intake after surgery were related to pulmonary complications. Data of a total of 89 patients were included in the analysis and the nutritional intake status was confirmed using a 24-hour dietary recall method. The data were analyzed by descriptive statistics, chi-square or Fisher’s exact test, and ANOVA using the SPSS WIN 26.0 program and word clouds were generated using the R software program. Results: Overall, a decrease in the postoperative nutritional intake was observed in the patients who underwent pulmonary resection, except for the intake of fat. The pulmonary complications were identified to be associated with BMI and the presence of comorbidity. Twenty-three out of 74 patients with vitamin E levels below the Estimated Average Requirements developed pulmonary complications after surgery. Conclusion: Lung cancer patients who underwent pulmonary resection generally have difficulty in acquiring appropriate nutritional intake and need balanced nutritional management. Future investigations on the impact of increased vitamin E intake on postoperative pulmonary complications may provide better insight into the relationship between vitamin E intake and pulmonary complication among patients who underwent pulmonary resection.