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      • SCOPUSKCI등재

        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.

      • KCI등재

        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.

      • KCI등재
      • KCI등재후보

        간호사의 환자만족 지향태도에 영향을 미치는 직무관련 요인

        이기효,김공현,손순주,양진선,권영대 한국의료QA학회 1997 한국의료질향상학회지 Vol.4 No.2

        Background : Willingness to satisfy patients(WSP) among nurses is essential to promoting patient satisfaction which is a critical component in the quality of health care and its outcomes. This study was carried out to empirically find out the affecting, factors of WSP among nurses in hospital settings. Methods : The model contains seven job relating determinants and two intervening variables as follows : i) job relating variables of professional status, task requirements, pay, physician-nurse interaction, nurse-nurse interaction, organizational policies, and autonomy, ii) intervening variables of job satisfaction and organizational commitment. Data were collected from 205 nurses in two general hospitals owned by one foundation located in Pusan, Korea, using a structured and self-administered questionnaire. Results : The major results were as follows : First, the results of ANOVA on WPS by personal characteristics showed a statistically signifcant relationships between WPS and hierarchical orders(p<.01) and tenure(p<.10). Comparing with the lower orders and the shorter tenure, the higher orders and the longer tenure showed better WPS. Second, the results of simple correlation analysis between WPS and determinants and intervening variables showed the following variables, in order of importance, were statistically significant t(p<.01) : work satisfaction(+), organizational commitment(+.), task requirements(+), nurse-nurse interaction(+), professional status(+), physician-nurse interaction(+). Third, the results of path analysis showed that two intervening variables of job satisfaction and organizational commitment, and three determinants of task requirements, professional status, and nurse-nurse interaction had a positively significant direct effect to WPS. Conclusion : The results suggest that nurses who are more satisfied with task requirements, professional status, nurse-nurse interaction, overall job satisfaction, and organizational commitment, will behave in ways that patients find more satisfied.

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