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NTIS 바로가기Journal of Korean academy of nursing = 대한간호학회지, v.42 no.4, 2012년, pp.537 - 548
박은영 (전주대학교 사범대학 중등특수교육과) , 신인수 (전주대학교 사범대학 교육학과) , 김정희 (단국대학교 의과대학 간호학과)
Purpose: The purpose of this study was to use meta-analysis to evaluate the variables related to depression in patients who have had a stroke. Methods: The materials of this study were based on 16 variables obtained from 26 recent studies over a span of 10 years which were selected from doctoral dis...
핵심어 | 질문 | 논문에서 추출한 답변 |
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뇌졸중의 유병률 증가에는 어떤 요인이 관련이 있다고 보는가? | 뇌졸중과 같은 만성질환 유병률의 증가는 서구화된 식생활 및 생활 패턴의 변화와도 관련이 있어 발병률이 증가하고 있다(Warlow et al., 2007). | |
뇌졸중 후 우울증은 어떤 점에도 관련이 있다고 Whyte와 Mulsant는 말하는가? | , 2007). Whyte와 Mulsant (2002)은 뇌졸중 후 우울증은 뇌졸중 발생 병변 부위와 관련될 뿐 아니라 생리학적, 정신학적, 사회적인 요인과도 관련이 있다고 하였다. Angelelli 등(2004)은 식욕 저하 및 연하문제가 33%, 정서적인 문제로 초조(28%), 무관심(27%), 불안(23%) 등이 신체기능적 장애, 정서적 장애가 흔하게 나타나며, 이들이 우울과 관련이 있다고 보고하였다. | |
국내외 연구들이 뇌졸중 환자의 우울관련 요인을 확인하고 그 중재 방안을 탐색하기 위해 진행된 이유는? | , 2007). 뇌졸중 이후의 우울은 매우 흔하며(Carter, 2004), Angelelli 등(2004)은 뇌졸중 후 우울감정의 발생률이 61%에 이르는 것으로 보고하고 있다. 실제로 우울은 신체적 기능에 부정적인 영향을 주며, 삶의 질, 사회활동의 저하를 초래하게 된다(Chau, Thompson, Twinn, Chang, & Woo, 2009; Teoh, Sims, & Milgrom, 2009). 또한 뇌졸중 후 우울은 환자의 사망률에 영향을 미치는 것으로 보고되었는데, 우울 증상이 없는 환자에 비해 10년 이내의 사망률이 3.4배 높은 것으로 보고되었다(Jordge, Robinson, Arndt, & Starkstein, 2003). 그로 인해 많은 국내외 연구들이 뇌졸중 환자의 우울관련 요인을 확인하고, 그 중재 방안을 탐색하기 위해 진행되었다. |
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