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RISS 인기검색어
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- 저자 : 정세훈(Sae Hoon Chung) (검색결과 2 건)
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전문 요양시설 내 치매 노인의 낙상 위험요인 분석 및 향정신약물의 역할
정세훈(Sae Hoon Chung),조경형(Kyung Hyung Jho),신영민(Young Min Shin) 대한노인정신의학회 2001 노인정신의학 Vol.5 No.1
Objective:This study examines the risk factors of the falls of the dementic elderlies in the nursing home. Especially we investigated how the psychotropics affect them in the aspect of the falling tendency. Methods:We investigated the falls of the 262 patients living in the Seoul JungGae Nursing Home for six month since March 1 1999. Among these we recruited 182 patients whom the exclusion criteria was applied to, and then we measured the relative risks of risk factors known from the previous studies. Results:The incidence rate of falls is 40.1/100person year. The relative risk of gender, age, disease of central nervous system, chronic illness, cognitive function, antipsychotics, antidepressants and anxiolytics had no significance (p>0.05). BADL, mobility, mood stabilizers were related with the falls significantly, and the relative risks were 0.904 (95%CI 0.840-0.973), 1.744 (95%CI 1.064-2.858), 4.683 (95%CI 1.412-15.532) relatively. Conclusions:The average rate of falling was 40.1/100person year showing less frequent accidents than that of other foreign studies, which was assumed the large number the care-givers and sitting life style on the floor helped preventing the elderlis' falling. Although The gender, age, disease of central nervous system, chronic illness, cognitive function, antipsychotics, antidepressants and anxiolytics did not influence the rate of the falling tendendy of the elderlies, the mobility and impaired activity of daily living increased the rate of their falling. The elderlies taking psychotropics more fell than others not taking pills. The imbalance between the mobile potency and imposed real activity causes the falls. When the psychotropics affect negatively on the mobility, it increases the falling rate of the elderlies. On the other hands, when these affect positively, these prevent elderlies falling.
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다섯 가지 시계그리기검사 채점법의 알쯔하이머병 선별 유용성 비교
서은현 ( Eun Hyun Seo ),박희형 ( Hee Hyung Park ),이동영 ( Dong Young Lee ),추일한 ( Il Han Choo ),이정희 ( Jung Hie Lee ),정세훈 ( Sae Hoon Chung ),윤종철 ( Jong Chul Youn ),김기웅 ( Ki Woong Kim ),주진형 ( Jin Hyung Jhoo ),김신 한국정신병리진단분류학회 2006 精神病理學 Vol.15 No.1
Objectives: This study aimed to compare the reliability and screening ability for Alzheimer`s disease (AD) of five scoring methods of clock drawing test(CDT). Methods: Consecutively recruited 155 probable AD patients and 155 normal control subjects participated in the study. The clock picture drawn by each subject was scored according to five CDT scoring methods, such as the CERAD, Rouleau, Sunderland, Mendez and Todd method. The inter-rater reliability was compared by calculating Pearson`s correlation coefficients. The screening ability was compared by analyzing the receiver operating characteristic(ROC) curves. Results: The five scoring methods had excellent inter-rater reliability in common. In terms of the screening ability for overall AD, there was no difference among the scoring methods. There was also no inter-method difference in screening ability for very mild AD. In contrast, as for the screening of mild to severe AD, the CERAD method showed significantly better ability than the other four methods. Conclusions: Regardless of their complexity, CDT scoring methods appears to have similar screening ability for overall AD. In screening clinically more evident AD except very mild one, however, the CERAD methods, in spite of its simplicity, can be probably applied more usefully than other CDT scoring methods.
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