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뇌손상 환자에 대한 한국판 Modified Mini-Mental State(3MS)Examination의 적용 KCI 등재

The Korean Version of Modified Mini-Mental State (3MS)Examination for Brain Injury Patients

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대한작업치료학회지 (Korean Journal of Occupational Therapy)
대한작업치료학회 (Korean Society Of Occupational Therapy)
초록

Objective: This study was conducted to develop Korean version of Modified Mini-Mental Status (3MS) Examination and to examine it’s validity and reliability in patients with brain injuries.
Method: The 3MS was administered to 24 patients with brain injuries from Jan. 1 to Apr. 30 in 2001 at two university hospitals in Korea. The instruments used for evaluating validity and reliability of 3MS were Mini-Mental Status Examination (MMSE), Neurobehavioral Cognitive Status Examination (NCSE), and Modified Barthel Index (MBI).
Results: Test-retest reliability of 3MS was excellent (r=0.97), and Interitem correlation coefficients ranged from 0.49 to 1.00. The score changes between the two tests were not related with the gender, level of education, and the duration after the brain injury. When items of 3MS were compared with the items of NCSE to evaluate the construct validity, correlation coefficients ranged from 0.43 to 0.73. When the NCSE was used as a gold standard to evaluate cognitive dysfunction, optimal cutoff scores analyzed by the Receiver Operating Characteristic curves for 3MS and MMSE were 68 and 22, respectively.
The sensitivity and specificity of both 3MS and MMSE were the same at 80% and 89.5%, respectively.
Conclusion: This study showed that the 3MS was a valid and reliable instrument to screen
cognitive dysfunction in patients with brain injuries.

목차
Ⅰ. 서 론
 Ⅱ. 연구 방법
  1. 3MS의 번안 및 수정
  2. 연구대상 및 연구방법
  3. 평가 도구
  4. 분석 방법
 Ⅲ. 연구 결과
  1. 연구대상자의 일반적 특성
  2. 일반적 특성과 3MS 및 MMSE의 변화와의 상관관계
  3. 뇌손상 부위에 따른 3MS와 MMSE의 비교
  4. 신뢰도
  5. 구성타당도
  6. 준거기준타당도
  7. 민감도와 특이도
 Ⅳ. 고 찰
 Ⅴ. 결 론
저자
  • 차정진 | Cha Jung-Jin
  • 이가영 | Lee Ka-Young