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한국인의 자가평가 건강수준 평가 도구 개발을 위한 문헌 고찰
양진선,전진호,Yang, Jin-Sun,Chun, Jin-Ho 대한예방의학회 2003 예방의학회지 Vol.36 No.1
Valid evaluation of self-perceived health status is important for the promotion of individual health and quality of life, In advanced countries, many types of health profile have been developed, and currently, the SF-36, NHP, and EuroQol, etc, are widely used. However, the outcomes of these profiles may vary according to regional, cultural or emotional backgrounds. For these reasons a Korean Health Profile should be developed. In this study, we reviewed the concept of self-perceived health status, and its significance to public health, and reviewed some of the differences between the available profiles in 139 related publications. Based on this review, we are trying to develop a Korean Health Profile in order to measure the self-perceived health stati of Koreans.
한국인의 자가평가 건강수준 측정도구(KHP 1.0) 개발
양진선,전진호,Yang, Jin-Sun,Chun, Jin-Ho 대한예방의학회 2003 예방의학회지 Vol.36 No.1
Objectives : The 1990s has seen advances in the conceptualization of self-perceived health status which has important roles for individual health and the quality of life. Many types of standardized questionnaires have been developed with the current wide use of SF-36, NHP, andEuroQol. However, the outcomes of these tools may be different with regard to regional, cultural and emotional backgrounds. The purpose of this study was to trial the development of a Korean Health Profile (KHP 1.0) to measure the self-perceived health stati of Koreans. Methods : The KHP 1.0 was designed on the basis of the Medical Outcome Study Form 36 (SF-36), the Nottingham Health Profile (NHP), and the EuroQOL. It was composed of 9 scales; physical functioning, role limitation-physical, pain, general health, energy, social isolation, sleep, role limitation-emotional, and e-motional health. Self-reported chronic disease conditions, and the Zung's Self-Rating Depression Scale (SDS), were also checked for the evaluation of clinical validity. This study was conducted, from December 2000 to January 2001, on 800 middle-aged parents, with four high school students, with 100 retest sets being conducted two weeks later. From the 800 subjects there were 588 complete responses (effective response 73.5%). The reliability of the test-retest results, and the factor analysis on the validity of the KHP 1.0 components, were evaluated using the SPSS (ver 10.0) software. Results : The reliability of the KHP 1.0 was good with Cronbach's alpha (>0.6), test-retest correlation coefficients (>0.5), but with no significant differences from the paired t-test. From the psychometric validity tests, the 9 scales of the KHP 1.0 were divided into two components; physical and mental, and trimmed to the established model with 55% of the total variance, with the exception of role limitation-emotional. The clinical validity on the basis of the comparison for the four characteristic groups; healthy, physical conditions only, mental conditions only, and physical and mental conditions were also good. Conclusions : The KHP 1.0 appears to be a valid measurement tool of self-perceived health stati of Koreans, although there are limitations, i.e. sample size was too small, a limited number of middle-aged subjects, and it was based on unconfirmed diagnoses, etc. Therefore, further study is required to standardize the assessment.
양진선,배미란,방미영,이원상 한국청각언어재활학회 2007 Audiology and Speech Research Vol.3 No.1
두 acoustic tumor 환자의 술 후 전정기능회복기간 사례를 통하여 전정재활시작시기에 따른 회복기간을 확인하고자 하였다. 수술 후 조기에 재활을 시행한 사례 1 환자는 3개월이내, 수술 후 오랜 시간경과 이후에도 불완전한 보상상태였던 사례 2 환자는 5개월 이상의 재활기간이 필요하였으며, 또한 매 검사마다 개선정도가 비교적 적으며 변동성이 지속적으로 관찰되었다. 이러한 사례를 통해 수술 후 재활기간의 단축과 환자의 빠른 회복을 위해 조기재활시작이 중요함을 알 수 있다. 또한 조기재활시행과 더불어 재활의 필요성과 효과에 대한 구체적인 교육과 상담을 통해 환자의 동기부여가 필수적으로 이루어져야 효율적인 재활수행이 가능할 것이다.