Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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The Effects of Mental Health on the Quality of Life After Stroke

뇌졸중 후 정신건강이 삶의 질에 미치는 영향

  • Kim, Hyeong-Min (Dept. of Rehabilitation Science, The Graduate School of Daegu University) ;
  • Shim, Min-Kyu (Dept. of Rehabilitation Science, The Graduate School of Daegu University)
  • 김형민 (대구대학교 대학원 재활과학과 작업치료 전공) ;
  • 심민규 (대구대학교 대학원 재활과학과 작업치료 전공)
  • Received : 2014.11.20
  • Accepted : 2015.02.20
  • Published : 2015.02.28
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Abstract

The purposes of this study are to examine the correlations among mental health and quality of life in stroke patients and find the factors affecting quality of life. The participants were 224 inpatients diagnosed with stroke. The Stroke Specific Quality of Life(SS-QOL) was used for measuring Quality of life and the Symptom Check-List-90-Revised(SCL-90-R) was utilized to measure mental health. The relationships among the variables were examined with Pearson correlation coefficients. And the simple regression analysis and stepwise multiple regression analysis were performed to identify the predictive variables that explain changes of quality of life. There were statistically significant correlations between quality of life and mental health. Mental health was identified as a factor that explains 28% of change in quality of life. And depression was identified as a factor that explains 42% of change in quality of life. The quality of life in stroke patients, the depression was negatively related with it. When working with a stroke patient, an occupational therapist needs to address mental health aspects from the beginning of the rehabilitation process for a holistic approach and optimal outcome.

본 연구는 뇌졸중 환자의 정신건강과 삶의 질 간의 상관성을 파악하고 정신건강이 삶의 질에 미치는 영향을 알아보고자 하였다. 뇌졸중으로 진단받은 224명을 대상으로 삶의 질의 측정을 위해 뇌졸중 환자 삶의 질 평가도구(Stroke Specific Quality of Life: SS-QOL), 정신건강은 간이정신진단검사(Symptom Check-List-90-Revised: SCL-90-R)를 사용하였다. 정신건강과 삶의 질 간의 상관성을 알아보기 위해 피어슨 상관관계를 이용하였고, 정신건강이 삶의 질에 미치는 영향을 확인하기 위해 단순 회기분석과 하위 요인들을 알아보기 위해 단계적 다중 회귀분석을 실시하였다. 정신건강과 삶의 질은 통계적으로 유의한 상관성을 보였으며, 정신건강이 삶의 질 변화에 영향을 미치는 유의한 요인으로 $R^2$ 0.28로 28%의 설명력을 보였으며, 하위영역 중 우울은 $R^2$ 0.42로 42%의 설명력을 보였다. 뇌졸중 환자에서 우울이 낮을수록 환자의 삶의 질이 높아지는 것을 알 수 있었다. 그러므로 뇌졸중 환자의 삶의 질을 향상시키기 위해 재활 초기부터 정신건강 요인을 포함한 전인적 접근과 중재에 초점을 두어야 할 것이다.

Keywords

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