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The Reliability and Validity of Revised Cognitive Perceptual Assessment for Driving(CPAD2)
J. J. Kim(김진주),H. Choi(최현),M. H. Lim(임문희),J. A. Lee(이정아),H. S. Han(한희선),J. H. Bae(배재혁),J. J. Lee(이재진),M. H. Kim(김미혜),H. L. Kim(김학률),D. A. Kim(김동아) 한국재활복지공학회 2018 재활복지공학회논문지 Vol.12 No.3
본 연구는 뇌졸중환자에게 있어 개정판 운전인지검사(revised Cognitive Perceptual Assessment for Driving : 이하 CPAD2)의 신뢰성과 타당성을 평가하기 위해 진행되었다. 발병 전에 실제 운전을 했던 뇌졸중환자 30명을 대상으로 하였고, 각 피험자는 CPAD2와 실제 도로주행평가를 받았다. CPAD2의 신뢰성을 평가하기 위한 내적 일치도를 보았고, 타당성을 평가하기 위해 CPAD2와 도로주행평가점수의 상관성을 분석하였다. CPAD2의 내적일치도를 보기위한 Cronbach"s α 값은 0.726(p<.05)으로 바람직하였다. CPAD2 점수는 도로주행평가점수와 유의한 상관성이 있었고(r=0.625, p<.001), 불합격군의 도로주행평가점수는 합격군의 도로주행평가점수보다 유의하게 낮았다(F=7.302, p<.05). 결론적으로, 본 연구를 통해 CPAD2가 도로주행평가점수와 상관성이 있고 타당성이 있음을 확인하였다. 그러므로 CPAD2는 뇌졸중환자의 실제 운전 능력을 평가하기 위한 도구로 유용할 것으로 사료된다. This study aimed to assess the reliability and validity of the revised Cognitive Perceptual Assessment for Driving (CPAD2) in stroke patients. Thirty patients with stroke who were actively driving prior to stroke incidence participated in the study. Each participant was evaluated using CPAD2 and a road driving test. To determine the reliability of the composition of the CPAD2 criteria, the internal consistency (Cronbach’s α) was measured and the validity was verified by analyzing the correlation between the road driving test and CPAD2 scores. The Cronbach’s α value was acceptable at 0.726 (p<.05) to verify the internal consistency of CPAD2. A significant correlation was observed between the scores of CPAD2 and the road driving test (r=0.625, p<.001). The score of the failed group was significantly lower than that of the passed group(F=7.302, p<.05). We concluded that CPAD2 was correlated with the road driving test scores and confirmed its validity. Therefore, CPAD2 is a useful tool for evaluating actual driving performance of stroke patients.
국립재활원에서 운전인지평가를 받은 뇌졸중 환자의 운전 실태조사
이정아(J. A. Lee),최현(H. Choi),이솔(S. Lee) 한국재활복지공학회 2013 재활복지공학회논문지 Vol.7 No.2
목적 : 본 연구의 목적은 국립재활원에서 운전인지평가(CPAD: Cognitive Percpetual Assessment for Driving)를 받은 뇌졸중 환자들의 현재 운전실태를 조사하고 CPAD와 안전운전과의 연관성을 알아보기 위함이다. 방법 : 국립재활원에서 CPAD평가를 받은 뒤 전화인터뷰에 응한 48명의 뇌졸중 환자를 대상으로 하였다. 의무기록자료를 통해 기본적인 정보와 CPAD점수, KMMSE점수 등을 취득하였으며 전화설문을 통해 운전실태에 대하여 조사하였다. 결과 : 48명의 응답자 중 12명이 현재 운전을 하고 있다고 응답하였고, 36명은 운전을 하지 않고 있었다. 운전을 하고 있는 사람의 CPAD 평균 점수는 하지 않는 사람의 CPAD 평균 점수에 비해 더 높았다(평균=54.13 vs 47.80, p<0.05). CPAD의 합격군이 불합격군보다 현재 운전을 하고 있을 확률이 더 높았다(OR=8.3, 95%CI=1.9331-35.558). 결론 : CPAD의 합격군에 속하는 사람이 불합격군에 속한 사람보다 현재 운전을 하고 있을 확률이 더 높았으며, 사고를 경험할 확률이 더 낮았다. 따라서 CPAD는 운전과 관련이 있는 시지각 및 기타 인지기능 평가도구로 사용될 수 있을 것이다. To investigate the actual driving state of the stroke patients who had assessed CPAD. Methods : We conducted a follow-up survey with 48 stroke patients who had assessed CPAD. First, we reviewed the medical chart and then carried out the telephone survey. Results : Of the 48 subjects, 12 were driving and 36 were not driving. Current drivers" CPAD score, it was 54.13, was higher than non-drivers" CPAD score(p<0.05). Those who passed the CPAD were driving more than who failed(OR=8.3, 95%CI=1.931-35.558). Conclusion : The pass group of CPAD have higher chance of driving than fail group and have lower chance of car accidence than fail group. Thus we can apply the CPAD for driving cognitive evaluation tests.
국립재활원에서 운전인지평가를 받은 뇌졸중 환자의 운전 실태조사
이솔(S. Lee),이정아(J. A. Lee),최현(H. Choi) 한국재활복지공학회 2013 한국재활복지공학회 학술대회논문집 Vol.2013 No.10
Objective : To investigate the actual driving state of the stroke patients who had assessed CPAD. Methods : We conducted a follow-up survey with 48 stroke patients who had assessed CPAD. First, we reviewed the medical chart and then carried out the telephone survey. The contents of the survey were driving status, experience of car accidences, driving frequency per week, the driving distances per day and the reason why they don"t driving and so on. Results : Of the 48 subjects, 12 were driving and 36 were not driving. Current drivers" CPAD score, it was 54.13, was higher than non-drivers" CPAD score(p<0.05). Those who passed the CPAD were driving more than who failed(OR=8.3, 95%CI=1.931-35.558). Two of the current drivers were experienced car crash. One was the pass group and another was the fail group. The pass group had less car crash experienced than the fail group(OR=0.4, 95%CI=0.020-9.364). Conclusion : The pass group of CPAD have higher chance of driving than fail group and have lower chance of car accidence than fail group. Thus we can apply the CPAD for driving cognitive evaluation tests. However, the number of subjects in this study was too small, it will need to do the study a larger subject scale with multi-institutional prospective clinical trial.