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NTIS 바로가기Journal of Korean academy of nursing = 대한간호학회지, v.44 no.5, 2014년, pp.581 - 591
박민경 (예손요양병원) , 하영미 (경상대학교 간호대학.건강과학연구원 노인건강연구센터)
Purpose: This study was conducted to develop a self-management program using goal setting for patients after a stroke. The program was based on a theory-based Goal setting and Action Planning framework (G-AP), and the effectiveness of the program was examined. Methods: A non-equivalent control group...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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가장 흔한 뇌졸중 후 기분장애 증상중의 하나는 무엇인가? | 뇌졸중 환자의 불안·우울·기분요동과 같은 기분장애의 원인과 발병기전이 정확하게 밝혀지지 않았지만, 기분장애는 뇌졸중 후 빈번하게 발생하는 건강문제로 잘 알려졌다[5-7]. 가장 흔한 뇌졸중 후 기분장애 증상중의 하나로 불안·우울증이 있는데, 이것은 뇌졸중 발병 후 첫 1년 이내에 뇌졸중 환자의 최소 1/3 정도에서 발생하는 대표적인 후유장애이다[13]. 뇌졸중 환자에게서 불안·우울증이 나타나는 이유는 신체적·정신적 기능의 급작스런 변화와 사회적 관계의 위축 혹은 관계형성의 실패 등으로 인해 발생한다고 알려졌다. | |
뇌졸중 재활치료를 위해 입원 중인 환자들을 위한 G-AP 기반 목표설정 자기관리프로그램에 관한 본 연구의 목표는? | 첫째, 뇌졸중 환자를 위한 G-AP 기반 목표설정 자기관리 프로그램을 개발한다. 둘째, G-AP 기반 목표설정 자기관리프로그램이 뇌졸중 환자의 뇌졸중 지식, 자기효능감, 건강행위 이행, 병원 불안과 우울에 미치는 효과를 파악한다. | |
우리나라만 50세 이상 성인의 뇌졸중 유병률 추이는 어떻게 되는가? | 의학기술의 발전과 의료의 질 향상으로 뇌졸중으로 인한 사망율은 감소추세에 있는 데 비해 인구의 고령화가 진행되면서 우리나라만 50세 이상 성인의 뇌졸중 유병률은 1998년 2.9%에서 2011년 3.9%로 증가 추세에 있다[1]. 뇌졸중은 일단 발생하면 환자의 9%만이 질병이전의 기능 상태로 완전히 회복되고, 73%의 환자들은 불완전하게 회복되어 남아있는 삶 동안 각종 뇌신경 후유장애를 가지고 살아가기 때문에 꾸준한 재활치료와 뇌졸중 재발방지를 위한 자기관리를 지속하는 것이 매우 중요하다[2]. |
Statistics Korea. Annual report on the cause of death statistics [Internet]. Daejeon: Author; 2013 [cited 2013 July 20]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmoderead&aSeq260046.
Korean Stroke Society. Stroke story [Internet]. Seoul: Author; 2011 [cited 2013 August 15]. Available from: http://www.stroke.or.kr/stroke/stroke_con.php.
Jones F, Riazi A. Self-efficacy and self-management after stroke: A systematic review. Disability and Rehabilitation. 2011;33(10):797-810. http://dx.doi.org/10.3109/09638288.2010.511415
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Intercollegiate Stroke Working Party. National clinical guideline for stroke. 4th ed. London, UK: Royal College of Physicians; 2012.
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National Stroke Foundation. Clinical guidelines for stroke management 2010. Melbourne, AU: Author; 2010.
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Jones F, Riazi A, Norris M. Self-management after stroke: Time for some more questions? Disability and Rehabilitation. 2013;35(3):257-264. http://dx.doi.org/10.3109/09638288.2012.691938
Department of Health. The national stroke strategy. London, UK: DH; 2007.
Hoffmann T, McKenna K, Worrall L, Read SJ. Randomised trial of a computer-generated tailored written education package for patients following stroke. Age and Ageing. 2007;36(3):280-286. http://dx.doi.org/10.1093/ageing/afm003
Hackett ML, Anderson CS, House A, Halteh C. Interventions for preventing depression after stroke. The Cochrane Database of Systematic Reviews. 2008;3:CD003689. http://dx.doi.org/10.1002/14651858.CD003689.pub3
Lennon S, McKenna S, Jones F. Self-management programmes for people post stroke: A systematic review. Clinical Rehabilitation. 2013;27(10):867-878. http://dx.doi.org/10.1177/0269215513481045
Levack WM, Taylor K, Siegert RJ, Dean SG, McPherson KM, Weatherall M. Is goal planning in rehabilitation effective? A systematic review. Clinical Rehabilitation. 2006;20(9):739-755. http://dx.doi.org/10.1177/0269215506070791
Siegert RJ, Taylor WJ. Theoretical aspects of goal-setting and motivation in rehabilitation. Disability and Rehabilitation. 2004;26(1):1-8. http://dx.doi.org/10.1080/09638280410001644932
Scobbie L, Dixon D, Wyke S. Goal setting and action planning in the rehabilitation setting: Development of a theoretically informed practice framework. Clinical Rehabilitation. 2011;25(5):468-482. http://dx.doi.org/10.1177/0269215510389198
Allen K, Hazelett S, Jarjoura D, Hua K, Wright K, Weinhardt J, et al. A randomized trial testing the superiority of a postdischarge care management model for stroke survivors. Journal of Stroke and Cerebrovascular Diseases. 2009;18(6):443-452. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2009.02.002
Kang SM. An effect of the secondary stroke prevention education program on self-care of acute ischemic stroke patients [master's thesis]. Seoul: Konkuk University; 2005.
Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67(6):361-370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x
Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depression scale for Koreans: A comparison of normal, depressed and anxious groups. Journal of Korean Neuropsychiatric Association. 1999;38(2):289-296.
Lowe DB, Sharma AK, Leathley MJ. The carefile project: A feasibility study to examine the effects of an individualised information booklet on patients after stroke. Age and Ageing. 2007;36(1):83-89. http://dx.doi.org/10.1093/ageing/afl145
Hafsteinsdottir TB, Vergunst M, Lindeman E, Schuurmans M. Educational needs of patients with a stroke and their caregivers: A systematic review of the literature. Patient Education and Counseling. 2011;85(1):14-25. http://dx.doi.org/10.1016/j.pec.2010.07.046
Jones F, Mandy A, Partridge C. Changing self-efficacy in individuals following a first time stroke: Preliminary study of a novel self-management intervention. Clinical Rehabilitation. 2009;23(6):522-533. http://dx.doi.org/10.1177/0269215508101749
Johnston M, Bonetti D, Joice S, Pollard B, Morrison V, Francis JJ, et al. Recovery from disability after stroke as a target for a behavioural intervention: Results of a randomized controlled trial. Disability and Rehabilitation. 2007;29(14):1117-1127. http://dx.doi.org/10.1080/03323310600950411
Bandura A. Self-efficacy: The exercise of control. New York, NY: Worth Publishers; 1997.
Taylor WJ, Brown M, William L, McPherson KM, Reed K, Dean SG, et al. A pilot cluster randomized controlled trial of structured goal-setting following stroke. Clinical Rehabilitation. 2012;26(4):327-338. http://dx.doi.org/10.1177/0269215511419384
Jones F, Partridge C, Reid F. The stroke self-efficacy questionnaire: Measuring individual confidence in functional performance after stroke. Journal of Clinical Nursing. 2008;17(7B):244-252. http://dx.doi.org/10.1111/j.1365-2702.2008.02333.x
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