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골관절염 환자에서의 건강관련 삶의 질 도구(EQ-5D)의 타당도 검증
임난영(Lim Nan Young),이인옥(Lee Inok),이은남(Lee Eun Nam),이경숙(Lee Kyung-Sook),조경숙(Cho Kyung-Sook),이선자(Rhee Seonja),강현숙(Kang Hyun Sook),김금순(Kim Keum-Soon),김종임(Kim Jong Im),박원숙(Bak Won-Sook),이윤경(Lee Yoon Kyoung 대한근관절건강학회 2010 근관절건강학회지 Vol.17 No.2
Purpose: We aimed to test the validity of the EQ-5D (Euro-Quality of Life-5 Dimension), a brief and simple instrument, in measuring health related quality of life in the patients with osteoarthritis. Methods: 183 participants attending the education programs for osteoarthritis patients at the Health Centers located in Seoul and Gyunggi province area during the periods of June to December in 2009 were interviewed with the EQ-5D and KWOMAC (Korean version of Western Ontario and McMaster Scale). The data were analysed with Spearman correlation coefficents and t-test by using of SPSS/WIN 12.0 version. Results: There was a negative correlation between knee pain, stiffness and difficulty in usual activity of sub category items of KWOMAC and EQ-5Dindex, while there was no correlation between these categories and EQ-VAS. Moreover, as a result of comparing the score of physical function measured by KWOMAC according to the severity degree of the EQ-5Dindex, the group of advanced stage having moderate and severe symptoms reported significantly higher scores of physical function than those of groups having no health problems. Conclusion: The EQ-5D is an acceptable and valid instrument for measuring health-related quality of life in patients with osteoarthritis.
임난영(Lim Nan Young),김종임(Kim Jong Im),이은남(Lee Eun Nam),이경숙(Lee Kyung-Sook),이인옥(Lee Inok),조경숙(Cho Kyung-Sook),박원숙(Bak Won-Sook),이윤경(Lee Yoon Kyoung),강현숙(Kang Hyun Sook),김금순(Kim Keum-Soon),전미영(Chon Mi-You 대한근관절건강학회 2010 근관절건강학회지 Vol.17 No.1
Purpose: The purpose of this study was to analyze the published research in the Journal of Muscle and Joint Health and to suggest the future perspectives. Methods: In this study, we reviewed the contents of 195 articles published in this journal from the first issue of the year 1994 to 2007. Results: The majority of subjects were adult, mostly with arthritis. The position of the authors was mostly professor (73.3%). Most of studies did not clearly describe about ethical consideration. The data collection was mostly conducted in the hospital (53.8%) or community (36.9%), with the questionnaire (62.6%). The types of research design were correlational study (36.4%), experimental study (31.8%), survey (18.5%), and qualitative research (4.6%). Physical variables included pain, fatigue, activities of daily living, joint flexibility, muscle strength, etc., psychosocial variables were measured by self-efficacy, depression, quality of life, etc., and cognitive variables by knowledge, education, etc. The most utilized nursing intervention for experimental study were exercise, self-help, and education. Conclusion: Further research is needed to extend the target population research design from multidisciplinary perspectives.
김종임(Kim, Jong Im),임난영(Lim, Nan Young),조경숙(Cho, Kyung Sook),이은남(Lee, Eun Nam),송라윤(Song, Rhayun),은영(Eun, Young),박원숙(Bak, Won Sook),이동숙(Lee, Dong-Suk),권영숙(Kwon, Youngsook),심희숙(Sim, Heesook),장부영(Jang, Boo 대한근관절건강학회 2012 근관절건강학회지 Vol.19 No.2
Purpose: The purpose of this study was to assess nurses educational needs for developing advanced nursing education program for musculoskeletal care. Methods: The participants consisted of 272 clinical nurses who had experience of taking care of patients with musculoskeletal problems. A structured questionnaire with 28 items was used to assess educational needs and priority perceived by clinical nurses. Collected data were analyzed using SPSSWIN V.18.0 program for descriptive statistics. This survey was conducted in accordance with standard ethical guidelines for all research involving human participants. Results: While the majority (93.4%) perceived needs for advanced education program, about half of the participants (48.5%) reported no educational experience about musculoskeletal care. The clinical nurses perceived important for 23 out of 28 areas to be included in advanced nursing education. Especially, the areas of pain management, surgical care, and medication were perceived high priority for education program in caring musculoskeletal patients. Conclusion: The study findings showed that most nurses perceived the need for advanced nursing education program in musculoskeletal care, and the areas with higher priority as perceived by nurses should be reflected in the program.
골관절염 환자를 위한 타이치 운동그룹과 타이치 자조관리 그룹의 효과 비교분석
강현숙(Kang Hyun-Sook),김종임(Kim Jong-Im),류언나(Ryoo Eon-Na),박원숙(Bak Won-Sook),백훈정(Paik Hoon-Jung),송라윤(Song Rha-yun),안양희(Ahn Yang-Heui),임난영(Lim Nan-Young),엄옥분(Eom Ok-Boon),이인옥(Lee In-Ok),이은옥(Lee Eun-Ok),이선자( 대한근관절건강학회 2006 근관절건강학회지 Vol.13 No.2
Purpose: The purpose of the study was to compare the effects of Tai Chi self-help program and Tai Chi exercise in patients with osteoarthritis. Methods: Quasi experimental design was utilized for the study to compare the effects after implementing tai chi self-help program and Tai Chi exercise for 6 weeks. The subjects of the study was osteoarthritis patients who visited to two Public Health Centers in Gyunggi-do from August to December, 2005. Total of 25 OA patients agreed to participate in the study, and 10 tai chi self-help program group and 9 Tai Chi exercise group were included for the final analysis after 6 weeks. Tai Chi self-help program was provided twice a week, 2 hours per session (one hour for tai chi exercise, one hour for self help program) for 6 weeks, and Tai Chi exercise group was provided once a week, 2 hours per session for 6 weeks. Outcome measures include flexibility, 6 m walking, and balance. Mann-Whitney U test of SPSS WIN 11.0 was utilized to compare the group differences. Results: The subjects of both program participants were not improved in their arm flexibility, and the difference was not significant. Tai chi self-help group improved more in their 6 m walking ability than Tai Chi exercise group, but the difference was not significant (F=.000, p>.05). Tai chi self-help group improved more in their balance than Tai Chi exercise group, but the difference was not significant (Rt: U=.24, p>.05; Lt: F=2.60, p>.05). Conclusion: The provision of both Tai Chi self-help program and Tai Chi exercise can lead improvement of 6 m walking, and balance, but the group difference was not significant. A rigorous research design should be further utilized to identify the potential benefits for this population.
골관절염 환자를 위한 타이치, 타이치-자조관리 및 자조관리과정의 효과 비교
조경숙,강현숙,김종임,박원숙,송라윤,안양희,임난영,이인옥,최선하,한상숙,Cho, Kyung-Sook,Kang, Hyun-Sook,Kim, Jong-Im,Bak, Won-Sook,Song, Rha-Yun,Ahn, Yang-Heui,Lim, Nan-Young,Lee, In-Ok,Choi, Sun-Ha,Han, Sang-Sook 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.1
Purpose: The purpose of the study was to compare the effects of Tai Chi exercise, Tai Chi self help program, and self help management program on arthritic pain, stiffness, fatigue and difficulties in performing daily activities in patients with osteoarthritis. Method: The pre-post experimental design was utilized with convenient sampling at Public Health Centers. Total of 38 subjects agreed to participate in the study with the inclusion criteria of being diagnosed as osteoarthritis and no previous regular exercise. The 12 subjects were assigned to Tai Chi exercise group, 13 subjects to Tai Chi exercise combined with self help management program, and the other 13 to self help management program. Tai Chi exercise group performed exercise twice a week for one hour per each session. Tai Chi self help management group came to the class twice a week, one hour for Tai Chi exercise, and another hour for self help management program. The third group came to the class once a week for one hour to participate self help management program. At the completion of 6 week programs, 10 subjects from Tai Chi exercise, 9 from Tai Chi self help, another 10 from self help management groups completed the post-test measures. The data were analyzed by SPSSWIN 11.0. The homogeneity tests for three experimental groups were conducted by $X^2-test$, Fisher's exact test, Kruskal-Wallis test. The final analysis of the post-test measures was conducted by ANCOVA with fatigue, pain, stiffness, and difficulties in daily activities of the pretest measures as covariates. Results: The results were as follows. There were no significant differences in fatigue, pain, and difficulties of daily activities among three groups for the pretest measures. The score of arthritic stiffness was significantly different among groups after controlled for covariates, but the post-hoc tests showed no group differences. Conclusion: The nursing interventions applied for osteoarthritis patients have been previously tested to show the cost effectiveness of symptoms management of this population.