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최지영,고영득 대한시과학회 2020 대한시과학회지 Vol.22 No.2
Purpose : The purpose of this study was to find out the eye health status of Jeju Haenyeo(female diver), and to investigate the effects of diving on their eyes by refractive and ophthalmic tests. Methods : The results of the naked and corrected visual acuity test, objective refraction test, IOP (introcular pressure) test, slit lamp microscopy, optical coherence tomography, visual field test, and retinal photography performed with 33 heanyeos(66 eyes) who are currently engaged in breath-hold diving were used to find out refractive conditions and history of ophthalmic diseases. Frequency analysis and logistic regression analysis were performed with the test results. Results : The most common refractive statuses of all subjects appeared myopic(43.9%) and against-the-rule astigmatic(56.1%). The morbidity rate of ophthalmic diseases was 6.1% in pterygium, 90.9% in cataract, 19.7% in glaucoma, and 33.3% in retinal diseases. It was shown that 61.7% of those with cataract were found to have had cataract surgery. Of retinal diseases, were preretinal membrane(45.5%), macular degeneration(27.3%), diabetic maculopathy(18.2%), and central serous chorioretinopathy(9.1%) were found. The result of logistic regression analysis showed that their longer career showed higher probability of not having cataract(Exp(B)=1.115) and glaucoma(Exp(B)=1.062), and the higher the age showed higher probability of having cataract(Exp(B)=1.220). Those with the longer career also had higher probability of not having central serous chorioretinopathy(Exp(B)=0.943). Conclusion : Basic data on the refractive status, astigmatism type, IOP, and onset of ophthalmic diseases in Haenyeos were collected. The utilized data would be helpful in establishing guidelines and training for Haenyeos' eye health in Jeju. 목적 : 본 연구는 제주 해녀들을 대상으로 굴절검사와 안과검사를 수행하여 해녀들의 눈 건강 실태를 파악하고 잠수작업이 눈에 미치는 영향을 알아보고자 하였다. 방법 : 현재 지식잠수를 하고 있는 제주 해녀 33명(66안)에 대상으로 진행한 나안·교정시력검사, 타각적굴절검사, 안압검사, 세극등현미경검사, 빛간섭단층촬영, 시야검사, 망막사진촬영, 빛간섭단층촬영 검사결과는 굴절상태와 안과질환 병력을 조사하는데 사용되었다. 검사결과에 대한 빈도분석과 로지스틱 회귀 분석을 실시하였다. 결과 : 전체 연구 대상자의 굴절상태는 근시(43.9%)와 도난시(56.1%)가 가장 많은 것으로 나타났다. 안과질환의 이환율은 군날개 6.1%, 백내장 90.9%, 녹내장 19.7%, 망막질환 33.3%로 나타났다. 이 중 백내장이 있는 사람의 61.7%가 백내장 수술력이 있는 것으로 조사되었다. 또한 망막질환은 망막앞막(45.5%), 황반변성(27.3%), 당뇨병성 황반병증(18.2%), 중심장액맥락망막병증(9.1%) 순으로 나타났다. 로지스틱 회귀분석 결과는 해녀경력이 많을수록 백내장(Exp(B)=1.115)과 녹내장(Exp(B)=1.062)이 유발될 확률이 높은 것으로 나타났으며, 연령이 많을수록 백내장(Exp(B)=1.220)이 유발될 확률이 높은 것으로 나타났다. 또한 해녀경력이 많을수록 중심장액맥락망막병증이 아닐 확률이 높은 것으로 나타났다(Exp(B)=0.943). 결론 : 해녀들의 굴절상태, 난시 종류, 안압, 발병한 안과질환에 대해 기초 자료를 얻었으며, 이를 활용한 제주 해녀들의 눈 건강을 위한 가이드라인 설정과 교육에 도움이 될 것이라고 사료된다.
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나은우,김경미,이일영,심대섭,이경석,임인동,고영득 대한재활의학회 2002 Annals of Rehabilitation Medicine Vol.26 No.5
Objective: The purposes of this study were to investigate the factors influencing life satisfaction and quality of life (QOL) of the disabled persons and to help the planning and evaluation of Community Based Rehabilitation (CBR). Method: Data were collected through personal interviews of 503 registrated disabled persons in Uiwang City. Demographic variables and scores of modified Barthel index (MBI), modified Lambeth disability screening questionnaire (MLDSQ), Craig handicap assessment and reporting technique (CHART) and life domain satisfaction measure (LDSM) were obtained. Results: The score of LDSM was 4.0±1.0. Life satisfaction was related to the age, sex, employment status, severity of disability, educational level, housing and residence, level of instrumental activities of daily living and social integration. MLDSQ score was the most strong predictor of life satisfaction (p=0.00) followed by social integration (p=0.001) and total CHART scores (p=0.017). And the factors influencing the handicap were monthly income, severity of disability, employment, level of education and age. Conclusion: Based on our study, we suggest that the CBR program of Uiwang City need to focus on improving functional ability and social skill of disabled individual and housing, and also promoting their vocational and educational status.
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