경상도 일부 지역에서 물리치료서비스를 이용하는 외래환자의 만족도 조사

이해정,한진태,Lee, Hae-Jung,Han, Jin-Tae 대한물리치료학회 2009 대한물리치료학회지 Vol.21 No.3

Purpose: The purpose of this survey was to assess the satisfaction of patients suffering from musculoskeletal pain with physical therapy (PT) in Busan, Daegu, and Kyeongsang provinces using a Korean-language version of the patient satisfaction questionnaire with physical therapy service (PSPT). Methods: A total of 654 patients, having PT for their musculoskeletal pains, participated. Consenting subjects completed a 20-item PSPT on their $6^{th}$ or last treatment day. Simple descriptive statistics were used for respondent characteristics, and mean of satisfaction score in each item. Regression analysis was performed on each item of the questionnaire. Results: 654 subjects responded during or after their PT services. 297 (45.5%) of them were male and the most common site of pain was the spine. The mean of each item score (1-5) ranged from 2.14 for "my therapist did not listen to my concerns" to 4.12 for "my therapist treated me respectfully". Receptionist's attitude, registration process, service time of the hospital, and answer to the patient's questions greatly affected the general satisfaction of the respondents. Conclusion: The results showed high levels of satisfaction to the general process for obtaining treatment as well as the therapist's attitudes toward their patients. They may provide valuable patients' feedback regarding PT service for musculoskeletal pain. Therefore, it may be used by physical therapists to improve future patient experiences with a view to improving the patient's attendance and compliance with the PT service protocols for patients suffering from musculoskeletal pain.

이중 에너지 엑스레이 흡수기의 가동 시간에 따른 골밀도 값의 평가

이해정,김호성,김은혜,Lee, Hae-Jung,Kim, Ho-Sung,Kim, Eun-Hye 대한핵의학기술학회 2010 핵의학 기술 Vol.14 No.1

Purpose: Recently, the performance of the X-ray tube was very much improved by the power generation of the technology. However, the overload of equipment is occurred by the increment of the equipment operating time according to the increment of the examination number of cases. The X-ray dose can change by heat occurrence of the X-ray tube due to this. Moreover, the change of the bone mineral density value is possible to occur. Therefore, We tries to whether the change of the bone mineral density value of each equipment according to the difference of the examination number of cases and operating time occur or not. Materials and Methods: The BMD value was measured by the Aluminum Spine Phantom and the European Spine Phantom in each equipment, in order to find out about the difference of the time general classification bone mineral density value by using the Dual energy X-ray absorptiometry. And after scanning each phantom by using X-ray dose meter (Unfors Mult-O-Meter), a dose was measured by the same condition. As to, an average and standard deviation were found and the change of each equipment much BMD value was compared and it evaluated. Results: $Mean{\pm}SD$ of each equipment by using the Aluminum Spine Phantom, A equipment was $1.174{\pm}0.002$, $1.171{\pm}0.005$, $1.173{\pm}0.005$, B equipment was $1.186{\pm}0.003$, $1.187{\pm}0.003$, $1.185{\pm}0.003$, C equipment was $1.180{\pm}0.003$, $1.182{\pm}0.004$, $1.183{\pm}0.002$, D equipment was $1.188{\pm}0.004$, $1.185{\pm}0.003$, $1.185{\pm}0.004$. By using the European Spine Phantom, A equipment was $1.143{\pm}0.006$, $1.153{\pm}0.009$, $1.161{\pm}0.003$, B equipment was $1.134{\pm}0.004$, $1.13{\pm}0.008$, $1.127{\pm}0.015$, C equipment was $1.143{\pm}0.006$, $1.134{\pm}0.01$, $1.133{\pm}0.006$, D equipment was $1.14{\pm}0.001$, $1.122{\pm}0.002$, $1.131{\pm}0.008$, altogether included in the normal range. Conclusion: There was no significant change of the BMD value of using a phantom by time zones. Therefore, if the quality control is made to use the extent management method of the equipment for beginning in the present application, the reliability of the BMD equipment will be able to be enhanced.

Proprioception associated with sub-clinical neck pain

이해정,배성수,Lee, Hae-jung,Nicholoson, Leslie L.,Adams, Roger D.,Bae, Sung-Soo Korea Proprioceptive Neuromuscular Facilitation As 2005 PNF and Movement Vol.3 No.1

목적 : 본 연구는 경미한 경부 통증을 가진 대상자의 경부 운동감각과 경부 통증과 기능에 대하여 조사하였다. 방법 : 본 연구의 대상자는 자발적으로 참여한 81명의 (나이 18-30세, 평균 23.2) 건강한 대학생으로 구성되었으며, 측정은 경부운동감각과 통증 및 기능에 대하여 측정하였다. 경부운동감각은 편안히 앉은 자세에서, 경부 후인과 좌우 회전의 중간 관절 범위에서 대상자의 두부에 착용하지 않는 기구를 사용하여 측정하였다. 경부 통증과 기능은 가장 흔히 쓰이는 4가지 설문지를 한국어로 번역하고 문화적으로 적응하는 과정을 거쳐 사용하였다. 결과 : 대상자들을 경부 통증 빈도에 따라 세 집단으로 (통증 없음, 월별, 주별) 구분하였다. 각 집단간에는 4가지 설문지로 조사한 경부통증과 기능에는 차이를 보이지 않았으나, 경부운동감각은 통증 빈도가 높을수록 더 민감하게 나타났다 결론 : 경부 운동감각은 편안히 앉은 자세에서 경부 후인과 좌 우회전의 중간 관절범위에서 측정하였으며, 경미한 경부 통증 빈도가 높을수록 경부 운동감각은 더 민감하게 나타났다.

ICF 개념을 이용한 만성요통 환자의 특성 분석

이해정,송주민,Lee, Hae Jung,Song, Ju Min 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.5

Purpose: The purpose of this study was to investigate the characteristics of patients with Chronic Low Back Pain (CLBP) in disability, pain, and cognition, and to compare those characteristics to the ICF concept analyzing the association between World Health Organization Disability Assessment Schedule 2.0: 12 item-interviewer version (WHODAS 2.0) and those of scales i.e. Oswestry Disability Index (ODI), the Short-Form McGill Pain Questionnaire (SFMPQ), and the Fear avoidance & belief questionnaire (FABQ). Methods: A total of 91 patients with CLBP were invited to participate in the study. Physical therapists interviewed all participants using SFMPQ, FABQ, ODI, and WHODAS 2.0 for collection of information on pain, cognition, and functional level data. Subjects scored their disability, pain, and cognition related to LBP using WHODAS 2.0, ODI, SFMPQ, and FABQ. Data analysis was performed using the Spearman correlation coefficient. Results: A positive relationship was observed between WHODAS 2.0 and each scale indicating that lower back specific disability components could be related to the ICF concept in ODI (r=0.77). Pain intensity and pain oriented movement were found to be related to general functioning in patients with CLBP (r=0.52, r=0.55, respectively). Conclusion: It can be suggested that the specific disability scale for LBP, ODI can be related to the ICF concept, WHODAS 2.0, and it may be a useful measure for patients with CLBP.

자체 제작된 팬텀을 적용한 Breast Specific Gamma Imaging 검사 프로토콜에 대한 고찰

이해정,이주영,임근교,박훈희,Lee, Hae-Jung,Lee, Juyoung,Lim, Kuen-Kyo,Park, Hoon-Hee 대한핵의학기술학회 2014 핵의학 기술 Vol.18 No.2

유방암 환자가 매년 증가함에 따라 BSGI 검사에 대한 의존도가 높아지고 검사 건수가 증가하고 있는 추세이다. 하지만 국내에서 BSGI 검사는 각 기관의 상황 및 업체권고에 따라 검사 프로토콜을 적용하고 있으며 관련 연구가 미비한 실정이다. 그러므로 본 연구에서는 영상의 질을 평가할 수 있는 팬텀을 자체적으로 제작하여 검사 프로토콜에 대해 고찰하고자 하였다. Dilon 6800 BSGI 장비를 이용하여 팬텀 내 구의 크기는 5단계로 구분하여 제작하여 실험하였다. 방사성동위원소는 $^{99m}TcO_4$를 사용하여 배후방사능과 관심영역의 비율을 2 : 4 : 8로 구분하였으며 5, 7, 10분 영상을 획득하였다. 획득된 영상은 각 구의 크기에 따라 관심영역을 설정하고 정량적, 정성적 분석을 시행하였다. 획득된 데이터는 SPSS ver.18.0을 통해 통계 분석하였다. 정량적, 정성적 분석 결과, 방사성동위원소의 주입량에 따른 각 구의 계수율은 주입량이 많을수록 계수율이 증가하였고, 구의 크기가 클수록 계수율이 증가하는 성향을 나타냈다(p<0.005). 영상획득시간에 따른 각 구의 계수율은 획득시간이 길수록 계수율이 증가하였고, 구의 크기가 클수록 증가하는 성향을 나타냈다(p<0.005). 방사성동위원소의 주입량에 따른 각 구의 대조도 잡음비는 주입량이 많을수록 증가하는 성향을 나타냈고, 8배 비율의 획득영상에서 대조도 잡음비가 가장 높았다. 또한 영상획득시간에 따른 각 구의 대조도 잡음비는 획득시간이 길수록 증가하는 성향을 나타냈고, 7분 획득영상에서 대조도 잡음비가 가장 높았다(p<0.005). 자체적으로 제작한 팬텀을 통한 정량적, 정성적 평가에서 통계적으로 유의한 차이가 있었으며, 팬텀의 유용성을 확인할 수 있었다. 또한 본 연구를 통해 장비 특성과 환경을 고려하여 BSGI 검사 프로토콜을 확인하고 활용한다면 보다 임상적 가치가 높을 것으로 사료된다. Purpose As breast cancer patients continue to increase every year, cases of BSGI are on the rise with a heavier reliance on it. However, BSGI protocol in hospitals was not studied enough despite it was covered by hospital's condition and recommendation of manufacturers. The objective of the study was an examination of methods to be applicable to BSGI protocols, putting the self-development phantom to use in quality assessment of the images. Materials and Methods Dilon 6800 (Dilon Technologies Inc, Newport News, USA) was used in the study and five different sizes of sphere were distinctively produced in the phantom. The study used $^{99m}TcO_4$. The cases were classified in to three categories that background radioactivity to region of interest as ratio of 2: 4: 8, They were acquired images for 5, 7, 10mins. The acquired image was set region of interest according to the size of sphere, and We analyzed quantitative and qualitative analysis. The acquired data statistically analyzed with SPSS ver.18.0. Results As the result of quantitative and qualitative analysis, count rate of each sphere in accordance with difference of injection dose showed that higher count rate as injection dose and sphere size increased (P<0.005). Count rate of each sphere in accordance with difference of acquisition time showed that higher count rate as acquisition time and sphere size increased (P<0.005). Contrast noise ratio of each sphere in accordance with difference of injection dose showed that higher contrast noise ratio as injection dose increased. Particularly, Contrast noise ratio of eight times ratio images was the highest among. Contrast noise ratio of each sphere in accordance with difference of acquisition time showed that higher contrast noise ratio as acquisition time increased. And, Contrast noise ratio of seven minute image was the highest among (P<0.005). Conclusion There was significant change of Contrast noise ratio through quantitative and qualitative analysis. Moreover, We found usefulness of phantom. If Institutions identified image through the phantom study and they made BSGI protocol, We expected to help the improvement of diagnostic value of the images.

유보통합의 현황 및 방향에 관한 연구

이해정 ( Lee Hae Jung ) 한국어린이문학교육학회 2016 어린이문학교육연구 Vol.17 No.4

유아교육·보육의 통합은 이원화 되어있는 유아교육과 보육 간의 격차를 해소하고, 효율적으로 통합·관리하여 0-5세 영유아의 발달에 맞는 양질의 서비스를 제공하고 부모의 선택권 및 편의성을 보장하는 것은 의미 있는 추진방안이라고 할 수 있다. 유보통합의 초기 과정부터 유보통합의 취지와 목적 대한 다양한 이해와 관점을 가지고 기대와 우려의 목소리가 높았으며, 각계의 이익에 치중되어 정책타당성이 낮다고 판단되기도 하였다. 그럼에도 불구하고 정부의 적극적인 주도에 의해 유보통합의 추진방안에 관한 연구가 완료되었고, 그 구현과 관련한 정책적 결정이 남겨져 있는 현시점에 도달하게 되었다. 본 연구는 유보통합의 현황 및 추진과정을 토대로 향후 방향성을 제시함으로써 유보통합에 대한 진중한 성찰의 계기를 마련하고자 한다. Integration of early childhood education and child care is a significant effort for solving dualistic problem and effectively managing early childhood education and child care. This effort is expected to provide quality early childhood education and child care service appropriate to young children of age 0 through to five and ensure parental accessibility and right of choice. There were some concerns about purposes and meanings from different perspectives in the beginning of integration of early childhood education and child care with limited validity of political decision. However, studies and researches on the integration of early childhood education and child care have been politically conducted and decision-making on that issues is requested. This study aimed to suggest some ways for integration of early childhood education and child care and provide an opportunity to reflect on them based on the current reviews of early childhood education and child care.

세계보건기구 기능제약평가목록 2.0: 12항목-버전의 한글도구 개발과 신뢰도 검사

이해정 ( Hae Jung Lee ),김다정 ( Da Jeong Kim ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.4

Purpose: The aims of the study were to develop and to establish reliability in Korean versions of World Health Organization Disability Assessment Schedule 2.0(KWHODAS 2.0): 12 item-self(12-self) and 12 item-interviewer(12-interviewer) versions. Methods: KWHODAS 2.0: 12-item versions were developed in idiomatic modern Korean with a process involving independent translation, synthesis of the translations, independent back translation, and review by an expert committee to achieve equivalence with the original English. 88 participants were included in the study. 33 of participants filled the 12-self version twice to examine test-retest reliability and 55 of participants were assessed simultaneously by four interviewers using the 12-interviewer version. Intra-rater reliability was evaluated using the intra-class correlation coefficient(ICC) and inter-rater reliability was evaluated using both the ICC and k statistic. Results: Test-retest reliability for the 12-self version was excellent with ICC(2,1) value ranged from 0.94(CI 0.88-0.98) to 0.96(CI 0.90-0.98). Inter-rater reliability for the 12-interviewer version showed excellent agreement with ICC(2,1) from 0.94(CI 0.91-0.96) to 1(CI 1.0-1.0). K value was observed from 0.95 to 1. Conclusion: KWHODAS 2.0: 12-self and 12-interviewer versions were successfully translated and both scales showed excellent reliability. It is now suitable for use in clinical and research applications.

제2형 당뇨 환자의 식이, 신체활동, 자가간호, 자기효능감과 심혈관 합병증 위험요소간의 관계

이해정(Lee Hae Jung),김명수(Kim Myung Soo) 한국성인간호학회 2007 성인간호학회지 Vol.19 No.2

제2형 당뇨병 환자의 심혈관질환 위험요인 예측인자

이해정(Lee Hae Jung),박경연(Park Kyung Yeon) 한국성인간호학회 2006 성인간호학회지 Vol.18 No.3

BCGoma 제거 이후 발생한 패혈성 폐 색전증 1례

이해정 ( Hae Jeong Lee ),김현석 ( Hyun Seok Kim ),이원덕 ( Won Deok Lee ),김태홍 ( Tae Hong Kim ),조경래 ( Kyung Rae Cho ),정진아 ( Jin A Jung ),김자형 ( Ja Hyung Kim ),이주석 ( Ju Suk Lee ) 대한소아알레르기호흡기학회 2005 소아알레르기 및 호흡기학회지 Vol.15 No.3