Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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The Effect of Apraxia on Activity of Daily Living in Stroke Patients

뇌졸중 환자의 실행증이 일상생활에 미치는 영향

  • Shin, Su-Jung (Dept. of Occupational Therapy, Jungwon University)
  • 신수정 (중원대학교 작업치료학과)
  • Received : 2016.05.04
  • Accepted : 2016.06.20
  • Published : 2016.06.28
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Abstract

This study was conducted to investigate the apraxia affects activitys of daily living. 38 patients with stroke were participated and conducted to both Birminham Cognitive Screen(BCoS) apraxia test and K-MBI for ADL. Using a cutoff score of BCoS apraxia test, all patient was determine whether with apraxia or not and were distinguished by various types of apraxia. They were compared to the level of ADL using ANOVA. Apraxia patients 18, patients without apraxia is 20. The difference of ADL between the two groups was not. However, the result of classifying patients with apraxia subtypes, it showed a significant difference in grooming, eating, toileting, step, bowel control, and bladder control(F=4.431~9.193, p<0.05). As apraxia is cause of a negative effect on ADL, expert in the area to manage stroke patients should have to share information about whether apraxia is or not and make policy and treatment program considering the potential problem in ADL.

본 연구는 실행증이 일상생활수준에 영향을 미치는지 알아보기 위해서 실시되었다. 뇌졸중 환자 38명이 참여하였으며 대상자들에게 Birmingham Cognitive Screen(BCoS) 실행증 검사와 일상생활동작 검사인 K-MBI 평가를 실시하였다. BCoS 실행증 검사의 cutoff score를 이용하여 환자들의 실행증 유무를 판별하고 실행증이 있는 환자들은 특징적인 유형으로 구별하여 일상생활수준을 ANOVA로 비교분석하였다. 그 결과 실행증 환자는 18명, 실행증이 없는 환자는 20으로 구분되었으며, 두 환자 군의 일상생활수준의 차이는 없었다(p>0.05). 그러나 실행증 환자군을 세부유형으로 분류하고 비교한 결과 개인위생, 식사하기, 용변처리, 계단오르기, 대변조절, 소변조절의 유의미한 차이를 보였다(F=4.431~9.193, p<0.05). 실행증은 일상생활 수행에 부정적인 영향을 주므로 뇌졸중 환자를 관리하는 다 영역의 전문가들은 실행증 여부를 확인하고, 이에 대한 정보를 서로 공유하여 잠재적 일상생활의 문제를 고려한 정책 및 치료 프로그램을 고안해야 할 것이다.

Keywords

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