Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Influence of Upper extremity function, Activities of Daily Living, Therapeutic Flow and Quality of Life in Stroke patients

뇌졸중 환자의 상지기능, 일상생활활동, 치료적 몰입이 삶의 질에 미치는 영향

  • Kim, Ji-Hoon (Dept. of Occupational Therapy, Kaya University)
  • 김지훈 (가야대학교 작업치료학과)
  • Received : 2018.09.28
  • Accepted : 2018.12.20
  • Published : 2018.12.28
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Abstract

The purpose of this study was to analyzed the correlation between upper extremity function, activities of daily living, quality of life and therapeutic flow in stroke clients and identify the factors influencing therapeutic flow. Total 249 stroke patients from 13 hospitals were measure at therapist and researcher for upper extremity function, activities of daily living, therapeutic flow and quality of life. Factors that affect the quality of life correlation as s result of positively correlated with upper extremity function(r=.312, p<.001), activities of daily living(r=.605, p<.001), therapeutic flow(r=.525, p<.001). And the effect on quality of life in stroke clients variables affecting therapeutic flow(${\beta}=.344$, p<.001), activities of daily living(${\beta}=.293$, p<.05) and Time since of onset(${\beta}=.145$, p<.05) were the order of analysis. The regression model explained 35.9% of variances(F=35.736, p<.001). Therefore, it was found that therapeutic flow in stroke clients is an important factor for quality of life, future therapeutic flow study will continue to be needed.

본 연구의 목적은 뇌졸중 환자의 상지기능, 일상생활활동, 치료적 몰입과 삶의 질 간의 상관관계를 알아보고, 삶의 질에 영향을 미치는 요인을 파악하기 위함이다. 총 13개 병원에서 입원중인 뇌졸중 환자 249명을 대상으로 상지기능, 일상생활활동, 치료적 몰입과 삶의 질을 치료사와 연구자가 평가하였다. 그 결과, 뇌졸중 환자의 상지기능(r=.312, p<.001), 일상생활활동(r=.605, p<.001), 치료적 몰입(r=.525, p<.001)이 양의 상관관계를 나타내었다. 그리고 뇌졸중 환자의 삶의 질에 영향을 미치는 요인을 분석한 결과, 치료적 몰입(${\beta}=.344$, p<.001), 일상생활활동(${\beta}=.293$, p<.001), 발병기간(${\beta}=.145$, p<.05)은 뇌졸중 환자의 삶의 질에 유의한 영향을 미치는 변수로 확인되었으며, 이들 요인은 삶의 질을 35.9% 설명하는 것으로 나타났다(F=35.736, p<.001). 이를 통하여 치료적 몰입은 삶의 질에 영향을 미치는 중요한 요인임을 확인할 수 있었으며, 향후 치료적 몰입에 대한 계속적인 연구가 요구된다.

Keywords

Table 1. Difference of quality of life by general characteristics for subjects

DJTJBT_2018_v16n12_417_t0001.png 이미지

Table 2. Correlations among quality of life and Upper extremity function, activities of daily living, therapeutic flow

DJTJBT_2018_v16n12_417_t0002.png 이미지

Table 3. Factors affect in quality of life

DJTJBT_2018_v16n12_417_t0003.png 이미지

References

  1. D. H. Kim & K. H. Kim. (2018). A convergence study on the effects of functional electrical stimulation with mirror therapy on balance and gait ability un chronic stroke patients. Journal of the Korea Convergence Society, 9(10), 109-120. https://doi.org/10.15207/JKCS.2018.9.10.109
  2. J. H. Im, K. S. Lee, K. Y. Kim, N. S. Hong, S. W. Lee & H. J. Bae. (2011). Follow-up study on mortality in korean stroke patients. Journal of the Korean Medical Association, 54(11), 1199-1208. https://doi.org/10.5124/jkma.2011.54.11.1199
  3. B. H. Cho. (2011). Effects of video-guided education for primary family-caregivers of stroke patients. Journal of Korean academy of fundamentals of nursing, 18(2), 237-246.
  4. Y. R. Kim, Y. I. Kim & M. J. Kim. (2017). A Convergent study of the physical related quality of life using SF-8 of stroke patient's caregiver. Journal of the Korea Convergence Society, 8(12), 119-127. https://doi.org/10.15207/JKCS.2017.8.12.119
  5. H. M. Pendleton & W. Schultz-Krohn. (2014). Occupational therapy practice skills for physical dysfunction.Elsevier Inc.
  6. J. M. Gracies, J. E. Marosszeky, R. Renton. J. Sandanam, S. C. Gandevia & D. Burke. (2000). Short-term effects of dynamic lycra splints on upper limb in hemiplegic patients. Archives of Physical Medicine and Rehabilitation, 81(12), 1547-1555. https://doi.org/10.1053/apmr.2000.16346
  7. N. J. Cho & Y. S. Won. (2011). The correlations among the functional independence measure the mini-mental state examination and geriatric depression scale of the old elderly with stroke. The Journal of Occupational Therapy for the Aged and Dementia, 5(1), 1-12.
  8. H. Hopkins & H. Smith. (1983). Willard and Spackman's occupational therapy. Philadelphia: Lipincott.
  9. H. S. Kim, Y. O. Hwang, J. H. Yu, J. H. Jung, H. S. Woo & H. S. Jung. (2009). The Correlation between depression, motivation for rehabilitation, activities of daily living, and quality of life in stroke patients. The Journal of Korean Society of Occupational Therapy, 17(3), 41-53.
  10. S. Madden, W. M. Hopman, S. Bagg, J. Verner & C. J. Challaghan. (2006). Functional status and health-related quality of life during inpatient stroke rehabilitation. American Journal of Physical Medicine & Rehabilitation, 85(10), 831-838. https://doi.org/10.1097/01.phm.0000240666.24142.f7
  11. Y. A. Shin, S. W. Park & H. C. Kwon. (2015). Study of the change of neuropsychuatric personality and quality of life in chronic stroke patient. Journal of Special Education & Rehabilitation Science, 54(1), 435-451. https://doi.org/10.15870/jsers.2015.03.54.1.435
  12. R. Gunaydin, A. G. Karatepe, T. Kaya & O. Ulutra. (2011). Derterminants of quality of life(QoL) in elderly stroke patients: A short-term follow-up study. Archives of Gerontology and Geriatrics, 53(1), 19-23. https://doi.org/10.1016/j.archger.2010.06.004
  13. S. Rachpukdee, N. Howteerakul, N, Suwannapong & S. T. Aroonsin. (2013). Quality of life of stroke survivors: A 3-month follow-up study[electronic version]. Journal of Stroke & Cerebrovascular Diseases, 22(7), 70-78. https://doi.org/10.1016/j.jstrokecerebrovasdis.2012.05.005
  14. I. J. Yoon, D. R. Kim, Y. E. Lee & M. J. Park. (2013). The factors of effects on quality of life in acute stroke patients. The journal of Korean Society of Cognitive Rehabilitation, 2(2), 11-30.
  15. H. S. Lee. (2013). Relationships between cognitive function and quality of life of eldery stroke patients. The journal of Korean Society of Cognitive Rehabilitation, 2(1), 45-57.
  16. M. Y. Ham, K. S. Choi & E. J. Ryu. (2000). Analysis of nursing studies about stroke research in korea. The Korean Journal of Rehabilitation Nursing, 3(2), 154-168.
  17. A. S. Darlington, D. W. Dippel, G. M. Ribbers, R. Balen, J. Passchier & J. J. Busschbach. (2007). Coping strategies as determinants of quality of life in stroke patients: a longitudinal study. Cerebrovascular Disease, 23(5-6), 401-407. https://doi.org/10.1159/000101463
  18. J. H. Oh & M. S. Yi. (2012). Factors that affect health-related quality of life in community-dwelling older adults. Perspectives in Nursing Science, 9(2), 102-110.
  19. M. H. Suh & K. S. Choi (2010). Structural equation modeling on quality of life in stroke survivors. Korean Society of Nursing Science, 40(4), 533-541.
  20. Y. Y. You & C. S. Ann. (2009). A study of the relationships between perceived rehabilitation-motivation and quality of life in patients after a cerebrovascular accident. The Journal of Korean Society of Occupational Therapy, 17(2), 1-16.
  21. S. Y. Kim. (2017). The effect of social worker's convergent job competence enhancement working in a social welfare facility on quality of life. Journal of Convergence for Information Technology, 7(4), 113-119. https://doi.org/10.22156/CS4SMB.2017.7.4.113
  22. G. Yavuzer, A. Senel, M. B. Atat & H. J. Stam. (2008). Playstation eyetoy games improve upper extremity-related motor functioning in subacute stroke: a randomized controlled clinical trial. European Journal of Physical and Rehabilitation Medicine, 44(3), 237-244.
  23. M. Csikszentmihalyi. (1975). Beyond boredom and anxiety. San Francisco: Jossey-Bass.
  24. M. Csikszentmihalyi. (1990). Flow: The psychology of optimal experience. New York: Harper and Row.
  25. F. Reynolds & S. Prior. (2006). Creative Adventures and flow in art-making: a qualitative study of women living with cancer. British Journal of Occupational Therapy, 69(6), 255-262. https://doi.org/10.1177/030802260606900603
  26. H. Emerson. (1998). Flow and occupation: a review of the literature. Canadian Journal of Occupational Therapy, 65(1), 37-44. https://doi.org/10.1177/000841749806500105
  27. K. Yoshida et al. (2014). Flow experience during attentional training improves cognitive functions in patients with traumatic brain injury: an exploratory case study. Hong Kong Journal of Occupational Therapy, 24(2), 81-87. https://doi.org/10.1016/j.hkjot.2015.01.001
  28. J. H. Kim & H. Kim. (2015). Effects of the functional occupational therapy using flow on upper extremity function and activities of daily living for stroke patients. Journal of Special Education & Rehabilitation, 54(4), 71-88. https://doi.org/10.15870/jsers.2015.12.54.4.71
  29. J. H. Kim, H. Kim, H. C. Kwon, S. M. Lee, S. W. Lee & S. P. Hong. (2016). Study on the development and effectiveness of the flow-based therapy for stroke patients. Journal of Special Education & Rehabilitation, 55(3), 451-469. https://doi.org/10.15870/jsers.2016.09.55.3.451
  30. J. H. Kim, H. Kim & J. W. Park. (2017). The Correlation between psychosocial factors and therapeutic flow in stroke patients. Journal of Digital Convergence, 15(5), 253-262. https://doi.org/10.14400/JDC.2017.15.5.253
  31. R. E. Marioni, M. Chatfiled, C. Brayne & F. E. Matthews. (2011). The reliability of assigning individuals to cognitive states using the mini mental-state examination: a population-based prospective cohort study, BMC Medical Research Methodology, 11, 1-6. https://doi.org/10.1186/1471-2288-11-1
  32. H. S. Lee. (1996). A study of the manual function test in the hemiplegic patients. The Journal of Korean Society of Occupational Therapy, 4(1), 27-34.
  33. Y. J. Doe, M. G. Ji & M. H. Yun. (2018). Association between cognition of periodontal disease periodontal patients, life-stress and oral health related quality of life. Journal of Convergence for Information Technology, 8(3), 53-62. https://doi.org/10.14801/JAITC.2018.8.1.53
  34. I. J. S. (2012). Change the Quality of Life According to Elapsing Time in Stroke Patient. PhD. dissertation, Chonnam National university.
  35. J. H. Kim & M. Y. Lee. (2009). The influence of participation motives and sports commitment on psychological happiness for leisure sports participation. Journal of Leisure and Recreation Studies, 33(4), 101-112.
  36. D. G. Kim, J. S. Kim & J. H. Shin. (2012). Verification of relationship model among self-esteem, immersion, psychological well-being and happiness of sports for all participants. Korean Journal of Sports Science, 21(3), 335-346,
  37. M. G. Ragheb & C. A. Griffith. (1982). The contribution of leisure participation and leisure satisfaction to life satisfaction of older persons. Journal of Leisure Research, 18, 248-258.
  38. H. W. Kang, D. Y. Han & J. T. Kim. (2010). Relationship among participation degree, flow in leisure experience and quality of life of wu-shu athletes. The Journal of Korean Alliance of Martial Arts, 12(1), 135-145.
  39. E. S. An. (2016). Factors with Effects on Quality of Life of Rehabilitating Stroke Patients. PhD. dissertation, Kyungbuk National university.
  40. M. L. Niemi, R. Laaksonen, M. Kotila & O. Waltimo, (1998). Quality of life 4 years after stroke. Stroke, 19(9), 1101-1107.