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AGREE II를 이용한 턱관절 장애의 국내외 기개발 임상진료지침의 평가
윤예지,박혜성,김형석,전준영,박재현,신우철,김세윤,배준형,윤정민,김고운,하인혁,이윤재,김미령,송미연,조재흥,Yoon, Ye-Ji,Park, Hye-Sung,Kim, Hyungsuk,Jeon, Junyung,Park, Jae-Hyun,Shin, Woochul,Kim, Seyoon,Bae, Jun-hyeong,Yun, Jung-min,Kim, Koh-Woon 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.4
Objectives This study is aimed to identify and evaluate the already developed clinical practice guidelines (CPGs) of temporomandibular disorders (TMD) and contribute to making decisions in developing Korean medicine CPG of TMD. Methods We searched electronic database and selected CPGs of TMD according to the inclusion and exclusion criteria. Then, we made appraisal of selected CPGs by using AGREE II (Appraisal of Guidelines for Research & Evaluation II). Results Four CPGs are included and appraised with AGREE II. Among 6 domains of AGREE II, all CPGs failed to score over 60% in four domains. Only one CPG mentioned acupuncture as an adjunctive treatment for myofascial TMD. Conclusions It is difficult to indicate that included CPGs are with sufficient quality to recommend and it appears not to be appropriate to apply these already developed CPGs in Korean medicine clinical fields. Therefore, developing a new Korean medicine clinical practice guideline of TMD is required.
김형석,신우철,전준영,박재현,배준형,김세윤,박혜성,윤예지,윤정민,조재흥,정원석,Kim, Hyungsuk,Shin, Woochul,Jeon, Junyung,Park, Jae-Hyun,Bae, Jun-hyeong,Kim, Seyoon,Park, Hye-Sung,Yoon, Ye-Ji,Yun, Jung Min,Cho, Jae-Heung,Chung, Won-Seok 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.4
Objectives This study aimed to review manual therapies for mononeuropathies of upper limb through domestic and foreign studies designed for human body. Methods We searched databases (KMbase, OASIS, RISS, NDSL, KISS, KoreaMed, MEDLINE/Pubmed, CENTRAL, EMBASE) on the 1st to 31th of July 2017 to find related literatures that published after 2000. Results Twenty-eight studies were finally included. Of these, 13 articles were published after 2010. Twenty-two studies were clinical trials and 6 were observational studies. Carpal tunnel syndrome were the most researched type of diseases (85.7%). Most frequently used method of manual therapies was neurodynamic mobilization (35.7%). Pain scales and questionnaires were generally employed for evaluation. Significantly effective studies were 72.2% in controlled trials and 90% in the studies without control group. Conclusions In this study, we reviewed literatures concerning manual therapies on mononeuropathies of upper limb. Further studies are needed on the various diseases of mononeuropathies of upper limb to retain the evidence for the effectiveness of manual therapies.
작업치료사의 직무스트레스가 소진 및 이직 의도에 미치는 영향
김우람(Woo-Ram Kim),박주영(Joo-Young Park),윤예지(Ye-Ji Yun),최원호(Won-Ho Choi),이인경(In-Kyung Lee),정상미(Sang-Mi Jung) 한국엔터테인먼트산업학회 2018 한국엔터테인먼트산업학회논문지 Vol.12 No.3
본 연구는 현재 임상에서 근무하고 있는 작업치료사의 직무스트레스가 소진 및 이직 의도에 미치는 영향을 알아보고자 하며, 이를 통해 작업치료사의 효율적인 직무스트레스 관리방법을 마련하고, 이에 대한 처우 개선책을 마련하고 더 나은 근무환경을 위한 대처 방안을 위한 기초자료로 활용하고자 한다. 본 연구는 2017년 5월 1일부터 5월 20일까지 현장에서 근무하고 있는 작업치료사 177명을 대상으로 구조화된 자기기입식 설문지를 이용하여 조사하였다. 수집된 자료의 데이터 분석은 SPSS (win ver 20.0) 프로그램을 이용하여 빈도분석과 백분율, 스피어만 상관관계 분석, 다중회귀분석을 사용하여 처리했다. 연구결과에 의하면 작업치료사 직무스트레스 하위영역 중 고유 업무, 행정, 구성원과의 관계 순으로 스트레스가 높았으며 직무 스트레스 전체와 소진 하부영역과의 상관관계에서 신체(r=0.616), 정서(r=0.505), 정신(r=0.509)로 통계적으로 유의 하였다(p<.01). 또한 직무스트레스 하부요인과 이직 의도의 상관관계를 살펴보면, 고유 업무와 이직 의도(r=0.439)과 구성원과의 관계와 이직 의도(r=0.503)이며, 행정과 이직 의도(r=0.533)의 상관관계는 통계적으로 유의하다(p<.01). 다중회귀분석 결과 작업치료사의 소진에는 행정에 대한 스트레스가(β=0.405, p<.01) 가장 큰 영향을 미쳤고, 작업치료사의 이직 의도에는 행정에 대한 스트레스가(β=0.309, p<.01) 가장 큰 영향을 미쳤다. 따라서 작업치료사들의 직무 스트레스 감소시킬 수 있도록 관련 프로그램 개발, 치료 스케줄의 적절한 관리 및 팀 구성원과의 관계형성 등 합리적인 행정적 관리를 통한 근무여건개선과 작업치료업무의 질 향상 한다면 소진과 이직 의도를 감소시킬 것으로 생각된다. This research examines the effects of occupational stress on occupational fatigue caused by occupational stress relief work, and uses it as a basis for Coping way for finding efficient job stress management measures and improving the effectiveness of occupational stress management. This study was conducted on 177 occupational therapists working in the field from May 1, 2017 to May 20, 2017 using a structured self-report questionnaire. Data analysis of collected data was performed using frequency analysis, percentage, Spearman correlation analysis and multiple regression analysis using SPSS (win ver 20.0) program. According to the results of the study, occupational stressor sub-factors of occupational therapist showed higher stress in the order of work, administration and teamwork. In the correlation between total occupational stress and depressed sub-factors, physical(r=0.616), sentiment(r=0.505) mental(r=0.509, p<.01). In addition, the relationship between job stress sub-factors of work and turnover intentions(r=0.439), teamwork and turnover intention(r=0.503), administration and turnover intention(r=0.523) was statistically significant(p<.01). Regression analysis showed that the stress on the administration (β=0.405, p<.01) had the greatest influence on exhaustion of the occupational therapist, the stress on the administration (β=0.309, p<.01) had the greatest influence on the turnover intention of the occupational therapist. Therefore, it is necessary to improved working conditions through rational administrative management such as develop related programs to reduce occupational stress of occupational therapists, to manage treatment schedules properly and to form relationships with team members, Improving the quality of occupational therapy tasks is thought to reduce burnout and turnover intention.