The purpose of this study was to verifying the effect of a social re-adjustment program for stroke survivors on the upper limb function, shoulder pain, functional independence, rehabilitation motivation, and social re-adjustment. A quasi-experimental research of nonequivalent control group pre and p...
The purpose of this study was to verifying the effect of a social re-adjustment program for stroke survivors on the upper limb function, shoulder pain, functional independence, rehabilitation motivation, and social re-adjustment. A quasi-experimental research of nonequivalent control group pre and post design was used. As the subjects, stroke survivors at home in G city, who understood the purpose of the research and agreed to participate in the program were chosen. Both experimental group and control group consisted of 30 and were provided with a social re-adjustment program twice a week for 7 weeks from May to August, 2010. As the research instrument, Manual Function Test (MFT) was used for assessing upper limb function, Visual Analogues Scale (VAS) was for shoulder pain, Functional Independent Measure (FIM) was for functional independence, rehabilitation motivation measure by Han Hye-suk (2000) was for rehabilitation motivation, and social re-adjustment measure on home life, social life, and productive life translated by Seo et al (2001) was modifications and complements for social re-adjustment. With data collected, subjects general traits and disease-related traits were assessed on the base of frequency, percentage, and standard deviation using SPSS 18.0 PC+ Win. Homogeneity of experimental group and control group was analysed by χ2-test and Fisher's exact test, homogeneity verification of dependent variable and hypothesis testing on the effect of social re-adjustment program were analysed by Mann-Whitney U test, and the reliability of the instrument was assessed by Cronbach's α. The results of the study were as following. Hypothesis 1. 'he upper extremity of those in the experimental group will be improved than those in the control group.' was approved as there has been shown significant difference in right upper limb function (Z=-3.62, p< .001), and left upper limb function (Z=-3.42, p< .001). Hypothesis 2. 'The shoulder pain of those in the experimental group will be reduced than those in the control group.' was partially proved as there has been shown significant difference in right shoulder pain in motion (Z=-4.00, p< .001), at rest (Z=-3.51, p< .001) and left shoulder pain at rest (Z=-2.03, p= .042), but no significant difference left shoulder pain in motion. Hypothesis 3. 'The functional independence of those in the experimental group will be improved than those in the control group.' was proved as there has been shown significant difference in functional independence (Z=-4.15, p< .001). Hypothesis 4. 'The rehabilitation motivation of those in the experimental group will be improved than those in the control group.' was approved as there has been shown significant difference in rehabilitation motivation (Z= -5.37, p< .001). Hypothesis 5. 'The social readjustment of those in the experimental group will be improved that those in the control group.' was approved as there has been shown significant difference in social re-adjustment (Z= -4.71, p< .001). The results above have approved that the social readjustment program, a caring mediation to make stroke survivors at home restore physical and psychological function and readjust at a proper level in control social aspects, improves upper limb function, functional independence, rehabilitation motivation, and social re-adjustment. Therefore it seems that applying the social re-adjustment program to stroke survivors by step and individual would lead them to encourage the rehabilitation and promote readjustment for return to the society with the positive effect and also suggested that aggressive use to visiting nursing programs in local communities for stroke survivors and their families.
The purpose of this study was to verifying the effect of a social re-adjustment program for stroke survivors on the upper limb function, shoulder pain, functional independence, rehabilitation motivation, and social re-adjustment. A quasi-experimental research of nonequivalent control group pre and post design was used. As the subjects, stroke survivors at home in G city, who understood the purpose of the research and agreed to participate in the program were chosen. Both experimental group and control group consisted of 30 and were provided with a social re-adjustment program twice a week for 7 weeks from May to August, 2010. As the research instrument, Manual Function Test (MFT) was used for assessing upper limb function, Visual Analogues Scale (VAS) was for shoulder pain, Functional Independent Measure (FIM) was for functional independence, rehabilitation motivation measure by Han Hye-suk (2000) was for rehabilitation motivation, and social re-adjustment measure on home life, social life, and productive life translated by Seo et al (2001) was modifications and complements for social re-adjustment. With data collected, subjects general traits and disease-related traits were assessed on the base of frequency, percentage, and standard deviation using SPSS 18.0 PC+ Win. Homogeneity of experimental group and control group was analysed by χ2-test and Fisher's exact test, homogeneity verification of dependent variable and hypothesis testing on the effect of social re-adjustment program were analysed by Mann-Whitney U test, and the reliability of the instrument was assessed by Cronbach's α. The results of the study were as following. Hypothesis 1. 'he upper extremity of those in the experimental group will be improved than those in the control group.' was approved as there has been shown significant difference in right upper limb function (Z=-3.62, p< .001), and left upper limb function (Z=-3.42, p< .001). Hypothesis 2. 'The shoulder pain of those in the experimental group will be reduced than those in the control group.' was partially proved as there has been shown significant difference in right shoulder pain in motion (Z=-4.00, p< .001), at rest (Z=-3.51, p< .001) and left shoulder pain at rest (Z=-2.03, p= .042), but no significant difference left shoulder pain in motion. Hypothesis 3. 'The functional independence of those in the experimental group will be improved than those in the control group.' was proved as there has been shown significant difference in functional independence (Z=-4.15, p< .001). Hypothesis 4. 'The rehabilitation motivation of those in the experimental group will be improved than those in the control group.' was approved as there has been shown significant difference in rehabilitation motivation (Z= -5.37, p< .001). Hypothesis 5. 'The social readjustment of those in the experimental group will be improved that those in the control group.' was approved as there has been shown significant difference in social re-adjustment (Z= -4.71, p< .001). The results above have approved that the social readjustment program, a caring mediation to make stroke survivors at home restore physical and psychological function and readjust at a proper level in control social aspects, improves upper limb function, functional independence, rehabilitation motivation, and social re-adjustment. Therefore it seems that applying the social re-adjustment program to stroke survivors by step and individual would lead them to encourage the rehabilitation and promote readjustment for return to the society with the positive effect and also suggested that aggressive use to visiting nursing programs in local communities for stroke survivors and their families.
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