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      • 기능적 인지기반중재가 급성 뇌졸중 클라이언트의 작업수행에 미치는 영향: 증례보고

        정주희 ( Jeong Ju-hee ) 대한인지재활학회 2021 대한인지재활학회지 Vol.10 No.1

        목적: 이 증례보고의 목적은 기능적 인지기반중재(functional cognitive-based intervention)가 급성 뇌졸중 환자의 작업수행 및 인지기능에 미치는 영향을 알아보고자 하였다. 연구방법: 2018년 2개월 동안 종합병원에서 작업치료를 받은 전자의무기록의 후향적 차트 리뷰를 통해 49세 뇌졸중 클라이언트 1명의 기록이 수집되었다. 가정환경을 모의하도록 디자인된 병원 환경에서 총 2개월 동안 하루에 한 번 30분씩 기능적 인지기반의 작업 중재 회기에 참가하였다. 중재 전·후로 중재 효과를 확인하기 위하여 한국판간이정신상태판별검사(MMSE-K), 언어유창성검사(LFT), 전산화신경인지기능검사(CNT)를 통해 언어·인지기능을 평가하였고, 수행기반평가인 운동처리기술평가(AMPS), 사회적상호작용기술평가(ESI), 알렌인지수준판별검사(ACLS)를 통해 기능적 인지능력을 평가하였다. 그리고 캐나다작업수행측정(COPM)을 통해 목표한 우선순위의 작업 수행도를 평가하였다. 결과: 기능적 인지기반중재 이후 특정 언어·인지기능의 측정 결과인 언어유창성(LFT)과 인지능력(MMSE-K와 CNT)의 향상을 보였고, 수행기반평가 결과인 작업수행과 의사소통의 질(AMPS와 ESI), 작업 수행도(COPM), 문제해결 및 학습수준(ACLS)에서 모두 향상을 보였다. 결론: 본 증례보고는 아급성기 케어부터 언어·인지능력의 결손이 있는 뇌졸중 클라이언트에게 의미 있는 일상생활 맥락을 최적으로 모의한 의료 임상 환경에서 인지능력을 안전하고 효율적으로 사용하도록 하는 기능적 인지기반중재를 제공하고, 일상생활 능력과 더불어 인지기능의 향상에 효과가 있다는 임상적 근거를 제공하는데 의의가 있다. Objective: The purpose of this case report was to investigate the effect of functional cognition based intervention on occupational performance and cognitive function in acute stroke patients. Methods: Records of one 49-year-old stroke female client were collected through a retrospective chart review of electronic medical records who received occupational therapy at a general hospital for 2 months in 2018. She participated in a functional cognition-based intervention session for 30 minutes once a day for a total of 2 months in a hospital environment designed to simulate a home environment. Before and after the intervention, cognitive linguistic function was assessed through Korean version of Mini Mental State Examination (MMSE-K), Lexical Fluency Test (LFT), and Computerized Neurocognitive Function Test (CNT), and functional cognition was assessed through performance-based test (PBT) such as Assessment of Motor and Process Skills (AMPS), Evaluation of Social Interaction Skills (ESI), and Allen Cognitive Level Screen (ACLS). And the targeted priority occupational performance was assessed through Canadian Occupational Performance Measure (COPM). Result: After the functional cognition-based intervention, cognitive linguistic function (MMSE-K, LFT, CNT) improved, and the PBT result of quality of occupational performance and social interaction skills(AMPS and ESI), occupational performance (COPM)and problem solving and learning level (ACLS) all showed improvement. Conclusion: This case report suggests that the functional cognition-based interventions to safely and efficiently utilize cognitive skills in meaningful daily life contexts to stroke clients with cognitive and linguistic problems from acute care can improve cognitive linguistic function as well as daily living ability.

      • KCI등재

        치과종사자의 손 위생 신념 및 손 위생 활동과 손 위생 수행률의 관련성

        정주희 ( Ju-hui Jeong ),노희진 ( Hie-jin Noh ),유자혜 ( Ja-hea Yoo ),문소정 ( So-jung Mun ) 한국치위생학회 2017 한국치위생학회지 Vol.17 No.2

        Objectives: This study was conducted to identify the correlation between belief in hand hygiene, activities and related hand hygiene performance rates among dental staff. Methods: This study was based on the evaluation of 329 dental practitioners, including dental hygienists who work at dental clinics, dental hospitals, general and university dental hospitals in Seoul, Gyeonggi-do Province, and Incheon. The questionnaire consisted of a total of 46 questions, including 7 questions on general characteristics, and 25 questions on hand hygiene beliefs, and 5 questions on hand hygiene activities, and 9 questions on hand hygiene practices. This study used 291 subjects for the final analysis, excluding subjects who had provided incomplete or inappropriate responses to the questionnaire. The collected data were analyzed using an independent t-test, ANOVA, x<sup>2</sup> test, correlation analysis, and multiple linear regression analysis, where p-values of <0.05 were considered statistically significant. Results: Longer clinical career was associated with a significant increase in behavior and norm beliefs, but no sequential difference in control beliefs. The hand hygiene performance was higher in staff at larger hospitals after contact with pollutants and contaminated environments. Higher age was associated with a significant increase in hand hygiene performance rates, but profession was not statistically significant in the performance rate of hand hygiene. The hand hygiene performance rate was ranked higher among those with average work hours per week of greater than 8 hours followed by those who worked fewer than 8 hours. Fewer work hours per week, a stronger belief in hand hygiene, less frequent exposure to contaminated environments, and a greater number of hand hygiene performance had a positive effect on higher hand hygiene performance rates. Conclusions: In order to increase the hand hygiene performance rate of dental practitioners, it is considered that required time for hand washing should be ensured sufficiently. Proper usage of hand sanitizers should also be promoted efficiently.

      • 작업기반실천측정(Occupational Based Practice Measure)의 한국어 번역 및 내용타당성 검증 연구

        정주희 ( Jeong Juhee ),김영근 ( Jeong Juhee ),이희령 ( Lee Hee Ryoung ),주유미 ( Ju Yumi ),한대성 ( Han Dae Sung ),홍승표 ( Hong Seung Pyo ) 대한인지재활학회 2023 대한인지재활학회지 Vol.12 No.2

        목적: 본 연구는 Khayatzadeh-Mahani(2022)의 작업기반실천측정(Occupational Based Practice Measure, OBPM)을 체계적인 과정을 통해 한국어로 번안하고 내용타당 도를 검증하고자 하였다. 연구방법: OBPM의 문항을 한국어로 번역-역번역을 수행하고 작업치료 전문가 5명을 대상으로 내용이해도를 측정한 후 번역위원회에서 토의를 거쳐 최종 한글 판을 완성하였다. 아울러 임상 경력 10년 이상의 작업기반실천을 시행하는 치료사 19명을 대상으로 내용타당도 조사를 하였다. 수집된 자료는 SPSS 29.0과 Excel 2016을 이용하여 내용타당도 지수(Content Validity Index, CVI), 안정도, 수렴도, 합의도를 분석하였다. 연구결과: OBPM 문항 중 5, 9, 14, 16, 30, 36번 문항에서 번역-역번역본 간의 차이가 있었고, 전문가 번역위원회를 통해 재조정하였다. 2차 수정까지 논의가 되었던 용어에는 ‘playful and joyful activities’와 ‘occupational therapy domain of practice’가 있었고 이는 최종적으로 ‘놀이답고 재미있는 활동’과 ‘실행영역’으로 번역하였다. OBPM 전체 문항의 CVI는 0.681이고, 안정도는 0.16, 수렴도는 0.43, 합의도는 0.81로 나타났다. CVI가 0.42보다 낮은 항목은 12, 13, 14, 15, 18, 19, 20, 25번 문항(총 8문항)이었다. 결론: 본 연구를 통해 OBPM의 국내 적용을 위한 근거를 마련하였다. 한글판 OBPM은 임상에서 사용되기에 타당하나 일부 문항은 타당하지 않은 것으로 나타났다. 향후 국내 작업 기반 임상의 문화 특이성을 반영한 평가항목 수정을 위한 후속 연구가 필요하다. Purpose: This study aims to translate Khayatzadeh-Mahani’s (2022) Occupational Based Practice Measure(OBPM) in Korean and verify content validity. Method: The OBPM items were translated and back-translated into Korean, the understanding about the items was test by 5 Occupational Therapy(OT) experts, and the final Korean version was finalized after discussion at the translation committee. In addition, a content validity was tested on 19 occupational therapists who implemented occupation-based interventions with more than 10 years of clinical experience. The collected data were analyzed for content validity index (CVI), stability, convergence, and agreement using SPSS 29.0 and Excel 2016. Results: Among the OBPM questions, there were differences between the translated and back-translated versions in items of 5, 9, 14, 16, 30, and 36, which were re-modified through an translation committee. The terms discussed until the second revision included ‘playful and joyful activities’ and ‘occupational therapy domain of practice.’ The content validity index (CVI) of all OBPM items was 0.681, stability was 0.16, convergence was 0.43, and agreement was 0.81. Items that were found to be invalid based on the CVI cutoff level(0.42)included items 12, 13, 14, 15, 18, 19, 20, and 25. Conclusion: The OBPM was developed and validated in Korean. The overall Korean OBPM was found to be valid for clinical use, but some items were still found to be invalid. In the future, it is expected that follow-up research will be conducted to modify the items to reflect the cultural diversity of occupation-based clinical practice in Korea.

      • KCI우수등재

        질소 포함 이산화탄소의 증발열전달 특성 연구

        정주희(Ju Hee Jeong),윤린(Rin Yun) 대한설비공학회 2021 설비공학 논문집 Vol.33 No.1

        The characteristics of boiling heat transfer were experimentally investigated for carbon dioxide with nitrogen impurities. The experimental setup was composed of a test section, a condensation section for the liquefaction of carbon dioxide before entering the pump, and a heating section for controlling the temperature of the entrance of the test unit. The test section was comprised of a double tube heat exchanger. A copper tube with a length of 4 m and a 1/2-inch diameter was located inside and the PVC pipe used for heating was outside. T-type thermocouples were installed in the annulus space of the test section to measure the brine temperature in the PVC and the surfaces of the copper tube. The experiment was performed under a mass flux of 200~700 kg·m<SUP>-2</SUP>s<SUP>-1</SUP> at a nitrogen concentration of 1.0~5.0 mol% and 0.1~0.9 of vapor quality. The boiling heat transfer coefficient of carbon dioxide with impurities decreased by an average of 14.7% compared to pure carbon dioxide.

      • KCI등재SCOPUS
      • KCI등재SCOPUS
      • KCI등재

        폭염 시 건물 외부공간의 온열환경 평가를 위한 지표의 수정회귀식에 대한 연구

        정주희(Ju Hee Jeong),오병철(Byoung Chull Oh) 한국생태환경건축학회 2024 한국생태환경건축학회 논문집 Vol.24 No.1

        Purpose: PMV and UTCI are key indices encompassing all major factors for assessing human thermal comfort. However, due to the complexity of calculations and significant errors arising from the inclusion of all these factors, there is a need for research on simpler indices that can be more easily applied. Therefore, in this study, we propose a modified formula for analyzing and evaluating thermal comfort in outdoor spaces during heatwaves, based on data collected in actual outdoor environments. Method: Employing the Stepwise method in multiple regression analysis, we analyzed existing PMV and UTCI to derive a modified regression model. Temperature (Ta), radiant temperature (Tr), relative humidity (RH), metabolic rate (Met), and clothing insulation (Clo) were used as variables. Result: The PMV equation demonstrated 99.3% explanatory power, while the UTCI equation showed 99.7%. The significance of deriving these formulas lies in the fact that they are based on data collected from outdoor environments rather than theoretical values. Especially considering the high accuracy but challenging usability of PMV and UTCI as evaluation metrics, once the reliability of the modified regression equations is confirmed, they are expected to be widely utilized in future research.

      • KCI등재
      • KCI등재

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