The Journal of the Korea institute of electronic communication sciences (한국전자통신학회논문지)

Korea Institute of Electronic Communication Science (한국전자통신학회)
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The Effects of Self-Exercise Based on Health Care Application on Upper Extremity Function and Daily Living, Satisfaction in Patients with Stroke

헬스케어 애플리케이션 기반의 자가운동이 뇌졸중 환자의 상지기능, 일상생활, 만족도에 미치는 효과

  • 문종훈 (가천대학교 보건대학원 작업치료학 전공) ;
  • 박인혜 (구미대학교 작업치료과)
  • Received : 2017.01.14
  • Accepted : 2017.06.16
  • Published : 2017.06.30
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Abstract

The aim of this study was investigated the effect of self-exercise based on health care application on upper extremity function and daily living, satisfaction in patients with stroke. This experiments were participated in thirty patients with stroke. All subjects allocated that randomized each fifteen patients in experimental and control groups. Subjects of both group received the conventional rehabilitation therapy during 30 min/day, 5 for week, for 4 weeks. Additionally, experimental group performed that self-exercise based on health care application, supervised under caregivers, during 30 min/day. Additionally, control group conducted only self-exercise supervised under caregivers, during 30 min/day. The outcome measures were the JHFT(: Jebsen-Taylor Hand Function Test), FMA(: Fugl-Meyer Assessment), K-MBI(: Korean Modified Barthel Index), VASS(: Visual Analog Satisfaction Scale). In results of study. Two groups showed significant improvements after intervention in all tests(p<.05). In comparison of change score between both group, experimental group showed greater significant improvements than control group in JHFT(p<.05). The experimental group was significant higher than control group in VASS(p<.05). We suggested that self-exercise based on health care application can have a positive effects of the improvements of hand function and satisfaction than usual self-exercise in patients with stroke.

본 연구는 헬스케어 애플리케이션 기반의 자가운동이 뇌졸중 환자의 상지기능, 일상생활, 만족도에 미치는 효과를 알고자 하였다. 본 실험을 위해 뇌졸중 환자 30명이 참여하였다. 모든 대상자는 실험군과 대조군으로 15명씩 무작위로 할당되었다. 두 군은 모두 하루 30분, 주 5회, 4주간 보편적인 재활치료를 동일하게 받았다. 실험군은 헬스케어 애플리케이션 기반의 자가운동을 사용한 자가운동을 30분 추가로 수행하였다. 대조군은 애플리케이션 없이 자가운동을 수행하였다. 결과측정은 중재 전과 후에 젭슨 손기능 검사, Fugl-Meyer 평가, 수정바델지수를 평가하였으며, 중재 후 시각만족도척도를 측정하였다. 연구 결과, 두 군은 중재 전과 후에 모든 측정평가에서 유의한 향상이 있었다(p<.05). 두 군 간 변화량 비교에서 실험군은 대조군보다 젭슨 손기능 검사에서 유의한 향상이 있었다(p<.05). 중재 후, 시각만족척도는 실험군이 대조군보다 유의하게 더 높았다(p<.05). 본 연구의 결과는 헬스케어 애플리케이션 기반의 자가운동은 기존의 자가운동보다 뇌졸중 환자의 손기능과 만족도에 긍정적인 효과를 기대할 수 있다고 시사한다.

Keywords

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