원예치료가 주간보호센터에서 뇌졸중 후 편마비 및 퇴행성관절염 어르신의 우울과 자아존중감에 미치는 영향 Effect of horticultural therapy on the depression and self-esteem of hemiplegia after stroke and retrograde arthritic in day-care center원문보기
본 연구는 원예치료가 주간보호센터의 뇌졸중 후 편마비 및 퇴행성관절염 어르신들의 우울과 자아존중감에 미치는 영향을 알아보고자 2000년 5월부터 2001년 9월까지 수행하였다. 원예치료의 효과를 살펴보고자 프로그램전과 후 우울(편마비 및 퇴행성관절염 어르신들의 우울과 자아존중감에 미치는 영향을 알아보고자 2000년 5월부터 2001년 9월까지 수행하였다. 원예치료의 효과를 살펴보고자 프로그램전과 후 우울(GDS)과 자아존중감(Self-esteem scale) 및 원예활동평가(Evaluation of horticultural activity)를 평가하였다. 그 결과 원예치료 실시 후 뇌졸중 후 편마비 및 퇴행성관절염 어르신 모두 우울이 유의하게 감소하였다(P＜0.05). 자아존중감은 우측편마비 어르신의 경우, 유의한 향상(P＜0.05)이 나타난 반면, 좌측편마비 어르신과 퇴행성관절염 어르신은 유의한 차이가 나타나지 않았다. 원예활동평가는 참여성, 관심 및 조력성, 자아개념 및 주체성, 언어소통능력, 숙련도 및 작업적응력 등 모든 항목에서 원예치료 후 호전된 결과가 나타났다. 본 연구는 장기간(17개월) 시행하였기 때문에 식물의 life cycle을 직접 체험하면서 관리하고, 결과물을 나누거나, 응용하는 등 연계 프로그램이 가능하였고, 결론적으로 볼 때, 원예치료 프로그램이 뇌졸중 후 편마비 및 퇴행성관절염 어르신의 재활에 효과적인 것으로 나타나 이에 관한 체계적인 장기 연구가 지속된다면, 주간노인 보호센터 어르신들이 안고 있는 문제들을 경감시키는데 도움이 될 것으로 판단된다.
본 연구는 원예치료가 주간보호센터의 뇌졸중 후 편마비 및 퇴행성관절염 어르신들의 우울과 자아존중감에 미치는 영향을 알아보고자 2000년 5월부터 2001년 9월까지 수행하였다. 원예치료의 효과를 살펴보고자 프로그램전과 후 우울(GDS)과 자아존중감(Self-esteem scale) 및 원예활동평가(Evaluation of horticultural activity)를 평가하였다. 그 결과 원예치료 실시 후 뇌졸중 후 편마비 및 퇴행성관절염 어르신 모두 우울이 유의하게 감소하였다(P＜0.05). 자아존중감은 우측편마비 어르신의 경우, 유의한 향상(P＜0.05)이 나타난 반면, 좌측편마비 어르신과 퇴행성관절염 어르신은 유의한 차이가 나타나지 않았다. 원예활동평가는 참여성, 관심 및 조력성, 자아개념 및 주체성, 언어소통능력, 숙련도 및 작업적응력 등 모든 항목에서 원예치료 후 호전된 결과가 나타났다. 본 연구는 장기간(17개월) 시행하였기 때문에 식물의 life cycle을 직접 체험하면서 관리하고, 결과물을 나누거나, 응용하는 등 연계 프로그램이 가능하였고, 결론적으로 볼 때, 원예치료 프로그램이 뇌졸중 후 편마비 및 퇴행성관절염 어르신의 재활에 효과적인 것으로 나타나 이에 관한 체계적인 장기 연구가 지속된다면, 주간노인 보호센터 어르신들이 안고 있는 문제들을 경감시키는데 도움이 될 것으로 판단된다.
This study was conducted to evaluate the effect of horticultural therapy on the depression and self-esteem of hemiplegia after stroke and retrograde arthritic in day-care center. To examine the effect of horticulture therapy, GDS(geriatric depression scale), self-esteem scale, and evaluation of hort...
This study was conducted to evaluate the effect of horticultural therapy on the depression and self-esteem of hemiplegia after stroke and retrograde arthritic in day-care center. To examine the effect of horticulture therapy, GDS(geriatric depression scale), self-esteem scale, and evaluation of horticulture activity were evaluated before and after horticultural therapy programs had been applied from May 2000 to September 2001. According to the results, depression after horticulture therapy was significantly decreased in both hemiplegia and retrograde arthritic. In case of self-esteem, however, there was significant improvement in right hemiplegia, while there was no favorable turn in both left hemiplegia and retrograde arthritic (P＜0.05). In the evaluation of horticultural activity, however, all items including participation, interest and assistance, self-concept and identity, verbal interaction during activity, need-drive adaptation, interpersonal and social relations, cognition and problem solving, exercise perceptivity and life-task skills and vocational adjustment have been changed for the better after horticulture therapy during 17 months. Specially, because this study has been carried out for a long period, I think it was possible for them to learn plant's life cycle, its management, watering and fertilization, etc. by direct personal experience and to apply a variety of programs like sharing harvested products. In conclusion, it was found that horticultural therapy programs could be very effective in solving or alleviating various problems of old patients in day-care center if the program could be planned more systematically and technically under long term base, considering that the effectiveness of horticultural therapy in both hemiplegia and retrograde arthritic patients was proved.
This study was conducted to evaluate the effect of horticultural therapy on the depression and self-esteem of hemiplegia after stroke and retrograde arthritic in day-care center. To examine the effect of horticulture therapy, GDS(geriatric depression scale), self-esteem scale, and evaluation of horticulture activity were evaluated before and after horticultural therapy programs had been applied from May 2000 to September 2001. According to the results, depression after horticulture therapy was significantly decreased in both hemiplegia and retrograde arthritic. In case of self-esteem, however, there was significant improvement in right hemiplegia, while there was no favorable turn in both left hemiplegia and retrograde arthritic (P＜0.05). In the evaluation of horticultural activity, however, all items including participation, interest and assistance, self-concept and identity, verbal interaction during activity, need-drive adaptation, interpersonal and social relations, cognition and problem solving, exercise perceptivity and life-task skills and vocational adjustment have been changed for the better after horticulture therapy during 17 months. Specially, because this study has been carried out for a long period, I think it was possible for them to learn plant's life cycle, its management, watering and fertilization, etc. by direct personal experience and to apply a variety of programs like sharing harvested products. In conclusion, it was found that horticultural therapy programs could be very effective in solving or alleviating various problems of old patients in day-care center if the program could be planned more systematically and technically under long term base, considering that the effectiveness of horticultural therapy in both hemiplegia and retrograde arthritic patients was proved.
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