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NTIS 바로가기한국전문물리치료학회지 = Physical Therapy Korea, v.21 no.2, 2014년, pp.37 - 47
Falls are common after stroke and most frequently related to loss of balance while walking. Consequently, preventing falls is one of the goals of acute, rehabilitative, and chronic stroke care. The purpose of this study was to investigate the incidence and risk factors of falls and to determine how ...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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뇌졸중 환자의 낙상으로 인해 발생할 수 있는 문제점은 무엇인가? | 뇌졸중 환자의 낙상으로 인한 손상은 일반적으로 많은 문제점을 발생시킨다. 병원의 입원 기간과 비용을 증가시키고(Rizzo 등, 1998), 독립적인 움직임을 더 어렵게 하며, 집으로 퇴원할 수 있는 가능성을 감소시키고(Rabadi 등, 2008), 요양병원이나 다른 병원으로의 입원을 증가시킨다. 또한 뇌졸중 환자의 낙상은 엉덩관절 골절 발생율과 사망률을 높이는데(Ramnemark 등, 2000), 그 이유는 뇌졸중 환자가 넘어질 때 주로 마비 쪽으로 넘어지며, 마비쪽의 골다공증이 비마비쪽에 비해 높게 나타나기 때문이다(Poole 등, 2002). 따라서 뇌졸중 환자의 낙상 관련요인을 확인하여, 낙상을 예방하는 노력이 필요하다. | |
뇌졸중 환자의 낙상과 관련한 대표적인 심리적인 요인은 무엇인가? | 뇌졸중 환자의 낙상은 신체적 요인에 의해서 뿐만 아니라 심리적 요인에 의해서도 일어난다. 심리적 요인 가운데 대표적인 것이 낙상관련 자신감(fall-related self-efficacy)이다. 낙상관련 자신감은 낙상이나 균형 손실 없이 일상적인 활동을 수행할 수 있는 자신감으로 낙상효능척도에 의해 측정될 수 있다(Belgen 등, 2006; Fletcher와 Hirdes, 2004). | |
일반 노인에 비해 뇌졸중 환자의 낙상 발생율이 높은 이유는 무엇인가? | 뇌졸중 환자의 낙상 발생율은 급성기 병원 치료를 하는 기간에 14%(Tutuarima 등, 1997), 재활병원에 입원하는 동안에 12∼37%(Sze 등, 2001; Teasell 등, 2002), 지역사회에 거주하는 경우에는 44∼51% 정도 발생하는 것으로 나타났다(Hyndman과 Ashburn, 2003; Yates 등, 2002). 일반 노인에 비해 뇌졸중 환자의 낙상 발생율이 높은 이유는 뇌졸중 발생 후 운동 및 감각기능의 손상과 균형의 결손이 심각하게 나타나기 때문이다(Belgen 등, 2006; Divani 등, 2009). 뇌졸중 환자의 50∼85%는 운동기능의 결손이 일어나고(Gresham 등, 1998), 마비된 근육의 강직은 균형능력을 감소시킨다. |
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