재가 뇌졸중환자를 위한 5주간의 자조관리프로그램의 효과에 관한 연구 Effects of 5 Weeks Self-Help Management Program on Reducing Depression and Promoting Activity of Daily Livings, Grasping Power, Hope and Self-Efficacy원문보기
The purpose of this study was to determine the effects of 5 weeks self-help management program on reducing depression, promoting Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings(IADLs), grasping power, hope and self-efficacy for post stroke patients visiting public health care...
The purpose of this study was to determine the effects of 5 weeks self-help management program on reducing depression, promoting Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings(IADLs), grasping power, hope and self-efficacy for post stroke patients visiting public health care centers in Seoul. This was pre-experimental study, and the subjects were 27 post stroke hemiplegic patients. The program was composed of five sessions and each session had health education on stroke, ROM exercise and recreation. Data were collected from May to November, 2000, and all subjects were asked to complete the Questionnaires, be measured vital signs and grasping power. Data were analyzed with frequency, percent, paired t-test, and Pearson's correlation coefficient using SAS(version 6.12) program. The results were as follows : 1) The scores of ADLs were increased from 27.04 to 28.22 after program, and that was statistically significant(p=.005). 2) The scores of IADLs were increased from 18.70 to 19.78 after program, and that was statistically significant(p=.004). 3) The grasping power of right hand were increased from 21.87kg to 26.93kg after program, and that was statistically significant(p=.002). But the grasping power of left hand were statistically insignificant(p=.919). 4) The scores of depression were decreased from 39.63 to 35.30 after program, and that was statistically significant(p=.030). 5) The scores of hope were increased from 30.89 to 34.15 after program, and that was statistically significant(p=.002). 6) The scores of self-efficacy were increased from 67.70 to 76.37 after program, and that was statistically significant(p=.000). According to the results of this study, the scores of Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings (IADLs), hope, and self-efficacy and the grasping power were improved and depression was reduced in post stroke patients participating in self-help management program. Therefore we recommend to use self-help management programs as a nursing intervention for the post stroke patient.
The purpose of this study was to determine the effects of 5 weeks self-help management program on reducing depression, promoting Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings(IADLs), grasping power, hope and self-efficacy for post stroke patients visiting public health care centers in Seoul. This was pre-experimental study, and the subjects were 27 post stroke hemiplegic patients. The program was composed of five sessions and each session had health education on stroke, ROM exercise and recreation. Data were collected from May to November, 2000, and all subjects were asked to complete the Questionnaires, be measured vital signs and grasping power. Data were analyzed with frequency, percent, paired t-test, and Pearson's correlation coefficient using SAS(version 6.12) program. The results were as follows : 1) The scores of ADLs were increased from 27.04 to 28.22 after program, and that was statistically significant(p=.005). 2) The scores of IADLs were increased from 18.70 to 19.78 after program, and that was statistically significant(p=.004). 3) The grasping power of right hand were increased from 21.87kg to 26.93kg after program, and that was statistically significant(p=.002). But the grasping power of left hand were statistically insignificant(p=.919). 4) The scores of depression were decreased from 39.63 to 35.30 after program, and that was statistically significant(p=.030). 5) The scores of hope were increased from 30.89 to 34.15 after program, and that was statistically significant(p=.002). 6) The scores of self-efficacy were increased from 67.70 to 76.37 after program, and that was statistically significant(p=.000). According to the results of this study, the scores of Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings (IADLs), hope, and self-efficacy and the grasping power were improved and depression was reduced in post stroke patients participating in self-help management program. Therefore we recommend to use self-help management programs as a nursing intervention for the post stroke patient.
뇌졸중은 발병되면 환자의 18%가 사망하며, 회복되어도 편마비, 언어장애, 감각장애, 기억력장애 등 운동및 인지기능 장애로 지속적인 재활 간호를 필요로 한다 (서문자, 1988 ; Feigenseon , 198 1) . 이러한 장애는 급성기에는 어느 정도 치료 및 간호 그리고 가족들의 보호를 받을 수 있지만, 6개월 이상 장기적이 되면 신체적 상태는 안정되나 남아 있는 편마비나 인지장애, 그리고 사회적 고립으로 인한 절망감 및 우울 등을 경험하여 자신감이 심하게 떨어지게 된다.
뇌졸중 환자의 사망 확률은?
뇌졸중은 발병되면 환자의 18%가 사망하며, 회복되어도 편마비, 언어장애, 감각장애, 기억력장애 등 운동및 인지기능 장애로 지속적인 재활 간호를 필요로 한다 (서문자, 1988 ; Feigenseon , 198 1) . 이러한 장애는 급성기에는 어느 정도 치료 및 간호 그리고 가족들의 보호를 받을 수 있지만, 6개월 이상 장기적이 되면 신체적 상태는 안정되나 남아 있는 편마비나 인지장애, 그리고 사회적 고립으로 인한 절망감 및 우울 등을 경험하여 자신감이 심하게 떨어지게 된다.
뇌졸중 환자들이 질병을 극복하고 변화된 생활에 적응하기 위해 사용하는 대처 전략에는 신체적 대처, 정신·정서적 대처, 사회적 대처, 영적 대처가 있는데 각 대처의 특징은 무엇인가?
그리고 뇌졸중 환자들이 질병을 극복하고 변화된 생활에 적응하기 위해 사용하는 대처 전략은 신체적 대처, 정신·정서적 대처, 사회적 대처, 영적 대처가 있다. 신체적 대처는 보조기구사용, 운동하기, 보호하기, 식습관, 일 담당하기, 보조약 사용, 민간요법시도, 건강 관심 갖기의 8가지 범주로 나타났고, 정신·정서적 대처에는 긍정적 대처인 수용함과 시도함, 부정적 대처인 통제실패가 있었으며, 사회적 대처는 지지받음으로 나타났다. 그리고, 영적 대처는 신에 의지함의 범주로 확인되었다(남선영, 1998) .
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