디지털융복합연구 (Journal of Digital Convergence)

  • 제14권1호
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  • Pages.291-303
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  • 2016
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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뇌졸중 환자가 지각한 스트레스와 임파워먼트가 재활동기에 미치는 융복합적 영향

The convergent influence of Perceived Stress and the Empowerment on Rehabilitation motive of Stroke patients

  • Kang, Hyo-Jeong (Dept. of Nursing, Dongwon Institute of Science and Technology) ;
  • Kwon, Suhye (College of Nursing, Kosin University) ;
  • Youn, Soon-Chul (Dept. of Nursing, Kosin University Graduate School)
  • 투고 : 2015.11.23
  • 심사 : 2016.01.20
  • 발행 : 2016.01.28
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초록

본 연구는 뇌졸중 환자의 재활동기에 미치는 융복합적 영향요인을 확인하고자 시도되었다. 대상자는 재활병원 및 요양병원에 입원 중인 뇌졸중 환자 138명으로 일대일 면담을 통해 설문지를 작성하여 자료를 수집하였다. 자료는 기술적 통계, t-test, ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression로 분석하였다. 연구결과, 뇌졸중 환자의 재활동기는 임파워먼트(r=.467, p<.001)와 유의한 상관관계가 있었으나 지각한 스트레스와는 유의한 관계를 보이지 않았다. 회귀분석 시 재활동기에 가장 큰 영향을 미치는 요인은 임파워먼트(${\beta}=.432$, p<.001)였고, 다음으로 주간호자(${\beta}=.175$, p=.023)로 확인되었으며, 이 변인들은 뇌졸중 환자의 재활동기를 총 24% 설명하는 것으로 나타났다. 따라서 본 연구의 결과에 따라 뇌졸중 환자의 재활동기를 증진시키기 위해 이들 영향요인을 고려한 융복합적 치료전략을 개발하고 적용할 필요가 있겠다.

The purpose of this study has been done to identify the influencing factors on rehabilitation motive of stroke patients. A sample of 138 stroke patients in Long-term Care and rehabilitation hospitals completed questionnaires through face - to - face interviews. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression. Rehabilitation motive of stroke pacients was correlated with empowerment (r=.467, p<.001), but not with perceived stress(r=.-.186, p=.029). In a multiple regression, empowerment (${\beta}=.432$, p<.001) and primary care-giver (${\beta}=.175$, p=.023) were associated with rehabilitation motive. These factors attributed to 24% of the total variance in rehabilitation motive. Therefore, the study finding suggests that these significant factors should be considered when developing and implementing convergent care strategies for stroke patients in order to promote their rehabilitation motive.

키워드

참고문헌

  1. Korean Academic Social of Rehabilitation Nursing, Rehavilitation and Healthcare for stroke patients, pp.5-10, SooMoomSa Publishing, 2003.
  2. http://kostat.go.kr/portal/korea/kor_nw/2/1/index. board?bmode=read&aSeq=330181, 2014.
  3. http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=334501, 2015.
  4. M. Y, Park, The Study on Development of Rehabilitation Realiness Scale for People with Chronic Mental Illness : Focusing on Factorial Structure and Validation, Unpublished master's thesis, Keimyung University, 1998.
  5. Hou, W. H., Ni CH, Li CY, Tsai PS, Lin LF & Shen HN, Stroke Rehabilitation and Risk of Mortality: A Population-Based Cohort Study Stratified by Age and Gender. J Stroke Cerebrovasc Disease : the Official Journal of National Stroke Association, Vol. 24, No. 6, pp. 1414-1422, 2015. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.03.006
  6. O. S. Kim, Y. S. Seo, B. N. Park, Rehavilitation and Health, SooMoomSa Publishing, pp.28, 2013.
  7. E. H, Kwon, A study on the rehabilitation motive of stroke patients-Focused on individual and family support factors, Unpublished master's thesis, Ewha Womans University, 2003.
  8. Y. Y. Kim, A study on the relationship between rehabilitation motivation and rehabilitation outcome for the mentally ill, The Korean Journal of Clinical Psychology, Vol. 25, No. 3, pp. 623-637, 2015.
  9. H. S. Han, Development of an Instrument to measure Motivation for Rehabilitation in Disabled, Unpublished doctoral dissertation, Hanyang University, Seoul, 2001.
  10. J. G, Kang, Factors Related to Stroke Patients' Qualilty of Life, and Moderating Effect of Rehabilitation Motivation, Unpublished doctoral dissertation, Chungbuk National University, Cheong-ju, 2011
  11. S. S, Shin, A Empirical Study on the Improvement of the Stroke Rehabilitation Services, Unpublished doctoral dissertation, Sangmyung University, Seoul, 2006.
  12. J. .H. Lee, A study on the determinants that affect life satisfaction of the disabled, Journal of Digital Convergence, Vol. 13, No. 1, pp.503-514, 2015.
  13. Lazarus, R. S., & Folkman, S., Stress. appraisal, and coping. NewYork :Springer Publishing Company, 1984.
  14. Neuman, B. (Ed.), The Neuman System Model: Application to nursing education and practice, Norwalk, C. T. Appletion Century Crofts, 1982.
  15. Y. H. Park, S. M. Cha, Study of Stress in Patients with Stroke. The Journal of Korean Association of Occupational Therapy Policy for Aged Industry, Vol. 4, No. 2, pp.23-30, 2012.
  16. Won-kyung, Park, Perceive stress and depression in hemiplegia patients using neuman stressors concepts factors, Unpublished master's thesis, Ewha Womans University , Seoul, 1987.
  17. E. Y. Park, I. S. Shin, J. H. Kim, A Meta-analysis of the Variables related to Depression in Korean Patients with a Stroke, Journal of Korean Academy of Nursing, Vol. 42, No. 4, pp.537-548, 2012. https://doi.org/10.4040/jkan.2012.42.4.537
  18. H. M. Kim, M. K. Shim, The Effects of Mental Health on the Quality of Life After Stroke, Journal of Digital Convergence, Vol. 13, No. 2, pp. 237-244, 2015.
  19. Spreitzer, G. M., When Organization Dare: The Dynamics of Individual Empowerment in the Workplace, Unpublished doctoral dissertation, The University of Michigan, 1992.
  20. H. C. Choi, The Effects of Working Environments and Psychological Empowerment of the Employed People with Mental Illness on Job Satisfaction, The Korean Journal of Social Welfare Studies, Vol. 40, No. 3, pp.267-297, 2009 https://doi.org/10.16999/kasws.2009.40.3.267
  21. Conger, J. A. & R. N. Kanungo, "The Empowering Process: Integrating Theory and Practice.", Academy of Management Review, Vol. 13, No. 3, pp.471-482, 1988. https://doi.org/10.5465/amr.1988.4306983
  22. Conger, J. A., "Empowering Others : Gaining the Leadership Edge", Bell Journal, Vol. 13, No. 2, pp.16-27, 1990..
  23. Lee, J. A., & Hudson, R., The empowerment approach to social work practice, Social work treatment: Interlocking theoretical approaches, Vol. 4, pp.218-249, 1996.
  24. H. S. Kim, Development of a measure of Youth Empowerment , Journal of the Korean society of child welfare, Vol. 14, No. -, pp.91-113, 2002.
  25. D. H. Kim, J. J. Kim, M. H. Oh, H. A. Jeong, The Relationships Among ADL, Self-Esteem, and Motivation for Rehabilitation of Stroke Patients, The Journal of Korean Association of Occupational Therapy, Vol. 21, No.4, pp.59-70, 2009.
  26. Y. Y. Yoo, C. S. An, A Study of the Relationships between Perceived Rehabilitation -motivation and Quality of Life in Patients After a Cerebrovascular Accident, The Journal of Korean Association of Occupational Therapy, Vol.17, No.2, pp.1-16, 2009.
  27. J. M. Lee, S. H. Ruy, H. Choi, Study for Accordance Rehabilitation Motivation and Stress in with the Behavior Type of Patients in Stroke, The Journal of Korean Society of Cognitive, Rehabilitation, Vol. 3, No. 2, pp.25-40, 2014.
  28. J. Y. Lee, H. S. Kim, Influences of Social Support, Self-esteem and Motivation for Rehabilitation on the Activities of Daily Living Stroke Patients, Journal of East-West Nursing Research, Vol. 20, No. 2, pp.145-153, 2014.
  29. H. J. Lee, M. S. Lee, Descriptive, Journal of Korean Academy of Nursing, Vol. 5, pp.125-125, 2004.
  30. Y. S. Park, S. S. Kweon, Factors Affecting Stroke Patients' Rehabilitation Motivation, Korean public public health research, Vol. 28, No. 1, pp.21-30, 2002.
  31. Rogers, E. S., Chamberin, J., Ellison, M, L., & Crean, T., "A Consumer-constructed Scale to Measure Empowerment among Users of Mental Health Services.", Psychiatric Services, Vol. 48, pp.1042-1047, 1997. https://doi.org/10.1176/ps.48.8.1042
  32. J. B. Lee, The Effects of Depression and Social Support on Empowerment of Runaway youth, The Graduate School of Myongji University, Seoul, 2012.
  33. J. Y. Moon, B. H. Cho, Relationships among Rehabilitation Motivation, Perceived Stress and Social Support in Stroke Survivors, The Korean Journal of Rehabilitation Nursing, Vol. 14, No.1, pp.24-31, 2011.
  34. J. S. Han, . Y. S. Kim, Y. S. Moon, S. J. Han, I. S. Park, S. H. Lee, A. R. Kim, Experience of Stroke Patients With Combined Treatment of Self-selected Oriental and Western Medicine, Journal of Digital Convergence, Vol. 12, No. 6, pp.375-384, 2014.
  35. M. M. Choi, . K. Y. Lee, T. W. Eom, Differences in Empowerment and Quality of Life among the Users of the Mental Health Service Settings in Korea, Mental Health & Social Work, Vol. 24, pp.94-124, 2006.
  36. S. C. Choi, I. B. Son, Participants of Job Creation Project for People With Disabilities on Organizational Commitment and the Mediating Effect of Job Stresss, Disability & Employment, Vol. 23, No. 3, pp.105-134, 2013. https://doi.org/10.15707/disem.2013.23.3.005
  37. J. Y. Ha, O. J. Yun, Y. M. Ahn, Relationship between Empowerment and Falls Efficacy in Community-dwelling Older Adults, Vol. 12, No. 3, pp.191-199, 2010.
  38. M. O. Kim, H. S. Kim, M. Y. Lee, A Study on Empowerment Process of the Disabled A Study on Empowerment Process of the Disabled, Korean Academy of Social Welfare, Vol. 57, No. 1, pp.31-60, 2005.
  39. M. H. Jang, J. S. Won, Association of Anger and Anger Expression, Social Support, Self-Esteem, and Depression in Elderly, Journal of Korean Academy of Psyshiatric and Mental Health Nursing, Vol. 18, No. 3, pp.259-268, 2009
  40. K. S. Kim, S. I. Jeon, H, C, Sin, A study of stress and depression in stroke patients : relationship to ADL, The Journal of Korean Society of Occupational Therapy, Vol. 3, No. 1, pp.3-20, 1995.
  41. J. W. Kim, J. H. Jeong, An Analysis of Socioeconomic Factors and Neurological Manifestations Influencing Stress in Stroke in Stroke Patients, Kosin Medical Journal, Vol. 24, No. 2, pp.62-68, 2009.
  42. S. K. Park, S. K. Moon, A Study on the psychological empowerment of elderly with physical disabilities, Journal of the Korean Gerontological Society, Vol. 26, No. 1, pp. 77-89, 2005.
  43. H. K. Kong, H. J. Lee, Effect of Empowerment Program on Rehabilitation Motivation, Depression, Activities of Daily Living Among the Patients with Stroke, Korean Journal of Adult Nursing, Vol. 20, No.3, pp. 406-417, 2008
  44. B. S. Yoon, Empowerment: Concept, Theory and Practice, Yonsei Business Review, Vol. 38 ,No.1, pp.71-111, 2001.