근육장애 아동 보호자의 삶의 질과 가족기능에 영향을 미치는 요인

모진아,Mo, Jin-A 한국가정간호학회 2011 가정간호학회지 Vol.18 No.2

Purpose: To describe the quality of life (QOL) and family function in primary caregivers who take care of a child with muscular dystrophy (MD). Methods: We studied a sample of 359 children and their primary caregivers. We collected the data through interviewing the caregivers and using a Short Form health survey-12 (SF-12) and Family APGAR scale. The functional status of a child was measured by the Modified Barthel Index (MBI). T-test, ANOVA and multiple regression analysis were used for data analysis. Results: Caregiver QOL was $66.63{\pm}12.58$, and was statistically associated with the caregiver level of education (t=7.436, p<.001), the status of their job (t=3.038, p=.049) and their marital status (t=-4.180, p=.001). Caregiver QOL was also associated with the child gender (t=9.060, p=.003), age (t=18.613, p<.001), level of education (t=7.023, p<.001) and their functional status (t=10.615, p<.001). The physical dimension of QOL explained 21.0% of variance in child character. Family function was at 4.37, statistically associated with the child's level of education(t=2.617, p=.012) as well as the age(t=2.774, p=.041), the caregiver level of education (t=2.617, p=.024). Family function explained 1.2% of variance in child character. Conclusion: The role of nurses should expand to involve family-care including caregivers as well as patients.

Efficacy of the Phosphorylated tau 181 in Differential Diagnosis of the Alzheimer’s Disease - A Systematic Review and Meta-Analysis

모진아,장재원,임주희,이민,설아람,김희진,윤영철 대한치매학회 2014 Dementia and Neurocognitive Disorders Vol.13 No.4

Background: The purpose of this study was to evaluate the value of phosphorylated tau with epitopes threonine 181(p-tau181) in cerebrospinal fluid (CSF) for the differential diagnosis of Alzheimer’s disease typed dementia from other type of dementia. Methods: A systematic literature search was performed to identify studies on p-tau181. Two evaluators independently evaluated the quality of the ten studies using the Scottish Intercollegiate Guidelines Network (SIGN) tool. The literature review covered from October 27, 1946 to October 22, 2013, and eight domestic databases including KoreaMed and international databases including Ovid-MEDLINE, EMBASE, and Cochrane Library were used. Tau concentrations were compared to healthy controls and to subjects with Alzheimer’s disease (AD) using random effect meta-analysis. Outcome measures were Cohen’s delta, sensitivity and specificity. Results: Finally, 8 studies (8 diagnostic evaluation studies) were identified to evaluate CSF p-tau181. The effectiveness of this test was evaluated based on diagnostic accuracy. The diagnostic accuracy for identifying AD by ELISA was high which revealed pooled sensitivity as 0.843 (95% CI 0.818-0.867), pooled specificity as 0.799(95% CI 0.768-0.828) and summary receiver operating characteristic area under the curve 0.9082±0.0236. Conclusions: CSF p-tau181 concentrations in other type of dementia are intermediate between controls and AD patients. Overlap between both controls and AD patients results in insufficient diagnostic accuracy, and the development of more specific biomarkers for these disorders is needed.

지역사회 거주 치매 노인의 인지재활프로그램 효과 : 체계적 문헌고찰 및 메타분석을 통한 접근

모진아,임지영,Mo, Jin A,Lim, Ji Young 한국가정간호학회 2015 가정간호학회지 Vol.22 No.2

Purpose: This study investigated evidence for the effects of community-based cognitive rehabilitation programs for demented elderly. Methods: The literature review covered studies between 2004 and 2014, and searched international databases including Ovid-MEDLINE, EMBASE, and the Cochrane Library. The Risk of Bias Assessment Tool for Non-Randomized Studies was used by two reviewers to evaluate independently the quality of the selected articles. Results: Eighteen studies were selected through a systematic search of the literature. About three quarters of the studies showed that the community-based cognitive rehabilitation programs provided by nurses were significantly effective in enhancing cognition among elderly individuals with dementia. Conclusion: Based on these results, we suggest that nurse is an appropriate profession to manage cognitive rehabilitation or cognitive enhancement programs for demented elderly individuals. Therefore, the current system in which caregivers provide cognitive rehabilitation programs for demented elderly individuals must be reformed.

횡파 탄성 초음파영상: 체계적 문헌고찰 및 메타분석

모진아 대한의사협회 2016 대한의사협회지 Vol.59 No.7

횡파 탄성 초음파영상은 병변 발견이 필요하거나 병변의중증도 확인이 필요한 간질환 환자를 대상으로 초음파를 이용하여 실시간으로 영상을 확인하며 조직 강성을 정량적으로 측정하는 검사이다. 초음파는 귀로 듣지 못하는 주파수가큰 음으로 일정한 방향으로 강하고 직진하는 성질과 부딪혀반사하는 성질이 있어, 몸에 초음파를 쏘아 보내어 반사되는 신호를 해석하여 몸 속의 여러 가지 기관을 영상으로 보여준다. 현재 임상에서 널리 사용하는 초음파는 손으로 눌러서 연조직의 단단함을 검사한다. 하지만, 적당한 크기의 힘을 영상면에 균일하게 가하기 어려워 시술자의 숙련도와 경험에 따라 의료결과가 달라지고 허상 등 위양성 소견을 보이는 경우가 많아, 진단에 어려움을 겪었다[1-4]. 횡파 탄성 초음파영상은 연조직의 탄성 특성의 차이를 초음파기기에서 가해준 힘에 대한 전단 변형률을 횡파의 음속도로 측정하여 객관적으로 병변의 경계를 확인하는 초음파영상검사이다[3,5]. 하지만, 현재 건강보험요양급여비용 목록에는 동 검사가 등재되어 있지 않아 본 연구에서는 체계적 문헌고찰을 통하여 동 검사의 안전성 및 유효성을 평가하고자 한다.

임상 전문간호사 운영 효과 분석

모진아,임지영,Mo, Jin-A,Lim, Ji-Young 한국가정간호학회 2011 가정간호학회지 Vol.18 No.1

Purpose: The aim of this study was to evaluate patient satisfaction and indirect marketing effects (recommendation, hospital re-visit intention) and additionally to calculate the expected incomes by clinical nurse specialists (CNS). Methods: Sixty-six patients who had lower varicose vein removal surgery performed at two general hospitals from August 1 to November 30, 2008, were recruited. The effects were evaluated by degree of patient satisfaction, the number of personal recommendations given, rate of hospital re-visit intention, and indirect marketing effects. Indirect marketing effects were calculated as the total cost of surgery multiplied by the score of other variables. Results: The patient satisfaction score was 0.82 for CNS and 0.43 for general nurses (GN). The number of personal recommendations given was 2.5 for CNS and 1.1 for GN. The rate of hospital re-visit intention was 0.31 for CNS and 0.21 fot GN. The ratio of expected incomes between CNS and GN is 2.07 to 1. Conclusion: We found that when a CNS serves a patient, satisfaction, number of personal recommendations, hospital re-visit intention, and indirect marketing effects were higher than those of GN. These results show that CNS have dominant roles and functions and that the effects of CNS employment can be measured using economics parameters.

근육병 질환자의 국가 보건.복지서비스 이용현황 및 요구도

모진아,Mo, Jin-A 한국가정간호학회 2012 가정간호학회지 Vol.19 No.1

Purpose: This study was carried out to increase the awareness, utilization and needs for health and welfare services in patients with muscle dystrophy. Method: Health and welfare service items were extracted from a '2008 National Survey of the Disabled Persons'(KIHSA, 2009), '2011 Guide for Disabled Welfare'(Ministry of Health and Welfare, 2011) and 'Helpline for rare disease'(CDC, 2011). Data collection trough a survey was performed using structured questionnaires, between the period of May and September, 2011. A total of 511 patients participated in this study. Descriptive statistics and Pearson correlation analysis were performed. Result: The average awareness rate was 43.3%. The average utilization rate was 45.3%. The needs and unmet needs were high on economic and daily life services. There were significant positive correlations between the needs of rare incurable disease services, medical, transportation, tax, residential, daily life services and age, prevalence periods, and the presence of a caregiver. There was a negative correlation between services and incomes. Conclusion: Patients with muscle dystrophy needs health and daily life support services, as much as their needs for secondary disease management and prevention. Also, the caregiver needs a support group for training and reducing the burden to care patient with muscle dystrophy. Government should promote services to health specialist.

간호학생의 장애인에 대한 인식과 영향요인

모진아(Mo JinA) 한국재활간호학회 2011 재활간호학회지 Vol.14 No.1

노인의 생활 만족도 영향 요인

모진아(Jin-A Mo),이경희(Kyung-Hee Lee) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.1

본 연구는 최근 10년간 해외 학술지에 게재된 복지관 이용 노인의 생활만족도에 영향을 미치는 요인들의 체계적 문헌 고찰 및 메타분석을 통해 노인의 생활만족도를 증진하기 위한 한국형 노인 생활만족도 도구 개발 및 복지관 운영 및 정책 개발 시 기초 자료로 제시하고자 한다. 분석에 사용된 문헌은 2017년 11월 1일까지 게제 된 국외 논문을 Medline complete, Pubmed central, Scopus를 통해 검색하였다. 검색 용어는 “Elderly . OR aged/) AND Personal Satisfaction/ or life satisfaction. mp"를 사용하였고, 검색된 595편의 초록을 통해 최종 6편의 연구를 분석 대상으로 선정하였다. 각 연구의 내용을 정성적으로 분석한 후 3편 이상의 정량값이 있는 요인들은 메타분석을 시행하였다. 연구 결과 노인 생활 만족도에 영향을 주는 요인으로는 신체적 건강(통합효과크기 0.582, p=.000), 정신적 건강(통합효과크기 0.423, p=.000), 경제적인 문제(r=.51, p=.001), 사회활동, 일상생활정도가 영향요인을 분석되었다. 본 연구를 통해 노인의 생활 만족도의 폭넓은 이해뿐만 아니라 초고령화 사회를 대비한 고령자 취업의 사회적인 함의 및 체계적인 건강관리를 통해 생활만족도를 높이는데 기여할 수 있을 것이다. The purpose of this study is to provide convenience to the senior center staff and policy makers through a research of "Life satisfaction" in the senior centers with a systematic review and meta-analysis of the considerations of the elderly, published in foreign journals for the past 10 years. We searched published studies in the Medline Complete, Pub-med central and Scopus databases from January 2007 to November 2017. The main key words used "Elderly AND(And OR aged) AND Personal Satisfaction/ or life satisfaction" and out of 595 searched articles a total of 6 studies were selected. After qualitative analysis of the contents of the study, meta - analyzes were conducted for factors with more than three quantitative values. The factors affecting life satisfaction of the elderly were physical health (pooled effect size 0.582, p = .000), mental health (pooled effect size 0.423, p = .000), economic problems (r = .51, p =. 001), social activities, and daily living. It is expected that this study which provides an understanding of life satisfaction of the elderly would contribute to provide general information for developing social consensus on the employment in the super aging society should help improve the quality of welfare facilities for senior citizens in the future.

광역학요법을 이용한 치주염치료

모진아(Jin-A, Mo) 대한치과의사협회 2016 대한치과의사협회지 Vol.54 No.6

Objectives: Photodynamic therapy has been proven to promote additional clinical and microbiological benefits in the treatment of chronic periodontitis and aggressive periodontitis. The purpose of this study is to assess the effectiveness of the photodynamic therapy for patient with periodontitis. Methods: We searched the eight Korean databases and Ovid-MEDLINE, Ovid-EMBASE, Cochrane Library. Total 300 studies were searched and 13 studies were included in the final assessment. Each of the stages from literature search and extraction of data were carried out independently by 2 researchers. We used tools of Scottish Intercollegiate Guidelines Networks for assessment of the quality of studies. Results: The safety of the photodynamic therapy was assessed by bleeding. The effectiveness of the photodynamic therapy was assessed by the reduction of Probing pocket depth (PPD) and the gain of Clinical attachment level (CAL). The mean difference of PPD was 0.46(95% CI 0.09~0.82), (p=.01). ). The mean difference of CAL was ?0.49(95% CI ?1.12~0.14), (p=.13). Conclusion: The additional use of °∞Antimicrobial Photodynamic Therapy for Periodontitis°± caused hemorrhage to similar extents to conventional treatment modalities, where scaling and root planing are solely performed, in patients with periodontitis who are expected to have a lower degree of treatment response to non-surgical or surgical periodontal therapies (implant or refractory periodontitis) and those where there is a concern for the possible occurrence of antimicrobial side effects or resistance. This indicates that there are no problems with its safety. But there were no consistent reports about the effects of the additional use of photodynamic therapy. This led to a decision that the safety and efficacy of the current technology deserve further studies (Recommendation rating of A, Classification of technology II-a).

선택적 망막 치료술의 안전성 및 유효성 : 체계적 문헌고찰

모진아(Jin A Mo),전미혜(Mi Hye Jeon),정유진(You Jin Jung),이민(Min Lee)김하경(Ha Kyoung Kim) 대한검안학회 2017 Annals of optometry and contact lens Vol.16 No.4

The safety and effectiveness of Selective Retina Therapy as a procedure that induces the regeneration of the retinal pigment epithelial cells by selectively destroying only the retinal pigment epithelial cell in patients with retinal diseases were assessed. A total of 9 literatures were included in the final assessment by applying the criteria for selection and exclusion. Tools of Scottish Intercollegiate Guidelines Network were used for assessment of the quality of literature, and levels of the basis and rankings of recommendation were selected accordingly to describe the results of the assessment. Safety was assessed by means of manifestation of complications on the basis of a total of 5 literatures. This technology was assessed to have no safety problem. Regarding the thickness of the retina, a key effectiveness variable, reports were made in 3 literatures on the diabetic macular edema, 1 literature on the central serous chorioretinopathy. Regarding the thickness of the retina made report on diabetic macular edema patient in terms of the changes following 6 months of follow-up observation. Although the thickness was reduced from 383 ± 80 μm prior to intervention to 370 ± 82 μm following the intervention, there was no statistically significant difference. It was reported that the thickness was reduced from 232 ± 120 μm prior to intervention to 210 ± 132 μm following the intervention without any report on the statistical values. Although there is no safety problem with the Selective Retina Therapy when implemented on diabetic macular edema, there are inadequate literatures that made report on the key effectiveness variables of the therapy including the changes in the thickness of the retina and regeneration of the retinal pigment epithelial cells, and comparison between the effect of using this technique along and the existing treatments on the extent of the damages to the surrounding tissues, making the assessment of the effectiveness of this technology difficulty. Moreover, it is deemed that there are inadequate researches for determination of its clinical effectiveness since the clinical sites with drug therapy as the fundamental treatment are not reflected.