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엄방울,이중엽,이인섭,손영길,류근원,김성근,김형일,김영우,공성호,권오경,박지호,안지영,김창현,서병조,윤홍만,손명원,박지연,박종민,정상호,유문원,송금종,양한광,서윤석,박기범,안상훈,신동우,지예섭,안혜성,이솔,민재석,인혜진,김아영,허훈,이혁준,KOrean QUality of life in Stomach cancer patients Study group 대한암학회 2021 Cancer Research and Treatment Vol.53 No.3
Purpose Patients who have undergone gastrectomy have unique symptoms that are not appropriately assessed using currently available tools. This study developed and validated a symptom-focused quality of life (QoL) questionnaire for patients who have received gastrectomy for gastric cancer. Materials and Methods Based on a literature review, patient interviews, and expert consultation by the KOrean QUality of life in Stomach cancer patients Study group (KOQUSS), the initial item pool was developed. Two large-scale developmental studies were then sequentially conducted for exploratory factor analyses for content validity and item reduction. The final item pool was validated in a separate cohort of patients and assessed for internal consistency, test-retest reliability, construct validity, and clinical validity.Results The initial questionnaire consisted of 46-items in 12 domains. Data from 465 patients at 11 institutions, followed by 499 patients at 13 institutions, were used to conduct item reduction and exploratory factor analyses. The final questionnaire (KOQUSS-40) comprised 40 items within 11 domains. Validation of KOQUSS-40 was conducted on 413 patients from 12 hospitals. KOQUSS-40 was found to have good model fit. The mean summary score of the KOQUSS-40 was correlated with the EORTC QLQ-C30 and STO22 (correlation coefficients, 0.821 and 0.778, respectively). The KOQUSS-40 score was also correlated with clinical factors, and had acceptable internal consistency (> 0.7). Test-retest reliability was greater than 0.8. Conclusion The KOQUSS-40 can be used to assess QoL of gastric cancer patients after gastrectomy and allows for a robust comparison of surgical techniques in clinical trials.
윗등뼈 도수치료가 전방머리자세를 지닌 만성 여성 목통증 환자에게 미치는 영향
Effect of Upper Thoracic Manipulation on women Chronic Neck pain patients with Forward head posture 대한치료과학회 2014 대한치료과학회지 Vol.6 No.2
Objective: This study seeks to establish the benefits of Upper Thoracic Manipulation on chronic neck pain patients with forward head posture by examining positive changes in their degree of neck pain, physical functioning, posture, pulmonary function and chest mobility. Method: 30 women with chronic neck pain patients with forward head posture who were receiving physical therapy in H hospital were divided into a Upper Thoracjc Manipulation Group(TMG) and a Upper Thoracic self Exercise Group(TEG). One group was treated by upper thoracjc manipulation and the other group by upper thoracic self exercise 3 times a week for 8 weeks. Evaluation were made on Visual Analogue Scale(VAS), Neck Dysfunction Index(NDI), Cranio Vertebral Angle(CVA), Pulmonary Function(PF) and Chest Expansion(CE). Repeated measure ANOVA was used to compare the evaluations of results before the experiment, results after 4 weeks, and results after 8 weeks. ANCOVA was used to compare between the groups. Results: In VAS, NDI, CVA, PF and CE both TMG and TEG showed weekly differences(p<.05). TMG showed more reduction in VAS, NDI more increase in CVA, PF and CE. Conclusion: In this study it showed that TMG is more effective than TEG on chronic neck pain patients with forward head posture in VAS, NDI, CVA, PF and CE.