대한지역사회작업치료학회지 (The Journal of Korean society of community based occupational therapy)

대한지역사회작업치료학회 (Korean Society of Community Based Occupational Therapy Association)
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라이프스타일 재설계 프로그램이 뇌졸중 노인의 시간 사용과 삶의 질에 미치는 효과

The Effects of Lifestyle Redesign Program on Time Usage and Quality of Life for Elderly with Stroke

  • 김형민 (김천대학교 작업치료학과) ;
  • 전병진 (강원대학교 작업치료학과)
  • 투고 : 2019.11.30
  • 심사 : 2019.12.26
  • 발행 : 2019.12.31
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초록

목 적 : 본 연구는 작업 균형(Occupational Balance)과 성공적인 노화연구(Well Elderly Research Study)를 이론적 근거로 라이프스타일 재설계 프로그램을 적용하여 뇌졸중 노인의 시간 사용과 삶의 질에 미치는 효과를 확인하고자 하였다. 연구방법 : 요양병원에 거주하는 뇌졸중 노인 총 40명(실험군 20명, 대조군 20명)을 대상으로 통제집단 사전사후검사 설계(pretest-posttest control group design)를 시행하였다. 라이프스타일 재설계 프로그램에 참여하기 전 2주 동안 사전평가를 실시하였고, 이 후 10주 동안 주 7회 라이프스타일 재설계 프로그램을 적용하였으며, 이 후 1주 동안은 사후 평가를 실시하였다. 대상자의 시간 사용은 통계청(2009) 생활시간 조사표를 사용하였고, 삶의 질의 경우 세계보건기구 삶의 질 평가도구(WHOQOL-BREF)를 사용하였다. 결과 : 프로그램 적용 전과 후의 시간 사용량 비교 결과 실험군의 경우 휴식과 수면(t=-4.89, p<.001), 여가(t=-4.67, p<.001)에서 통계적으로 유의한 차이를 확인할 수 있었다. 또한 집단 간 비교 결과 역시 휴식과 수면(t=-2.24, p<.01) 그리고 여가(t=3.57, p<.01)에서 통계적으로 유의한 차이가 나타났다. 삶의 질 비교 결과 두 그룹 간 통계적으로 유의한 차이가 나타났다(t=6.80, p<.001). 삶의 질 하위영역을 살펴보면 신체적 건강영역(t=6.08, p<.001), 심리적 건강영역(t=5.21, p<.001), 생활 환경영역(t=3.60, p<.01)에서 통계적으로 유의한 차이를 확인할 수 있었다. 결론 : 라이프스타일 재설계 프로그램은 요양병원에 거주하는 뇌졸중 노인의 휴식과 수면의 시간 사용은 줄이고, 여가생활에 참여하는 시간 사용을 늘려주었으며, 그로 인해 삶의 질이 향상되는 결과를 나타내었다.

Objective : This study was designed to identify the effects on the time usage and quality of life of seniors with stroke by applying lifestyle redesign programs on the theoretical basis of the Occupational Balance. Method : A pretest-posttest control group design was conducted for a total of 40 stroke elderly people living in nursing homes(20 experimental and 20 control groups). Prior assessment was conducted for two weeks before the application of the lifestyle redesign program. For the next 10 weeks, the lifestyle redesign program was applied seven times a week. After that, a week of post-evaluation was conducted. The time usage for the subjects was analyzed by Life Time Survey Table of the National Statistical Office(2009) and life quality for them was analyzed by World Health Organization Quality of Life-BRIEF (WHOQOL-BRIEF). Result : The comparison of time usage before and after application of the program demonstrated that for the experimental group, rest and sleep(t=-4.89, p<.001), and leisure(t=-4.67, p<.00b1) showed significant differences. In addition, intergroup comparison results showed that there were also significant differences in rest and sleep(t=-2.24, p<.01) and leisure(t=3.57, p<.01). The comparison of life quality showed a significant difference between two groups(t=6.80, p<.001). If you look at the sub-area of quality of life, a significant difference was identified in physical health(t=6.08, p<.001), psychological health(t=5.21, p<.001), living environment area(t=3.60, p<.01). Conclusion : Lifestyle redesign program actually reduced the time usage for rest and sleep for elderly with stroke living in nursing homes, and increased the time for participating in leisure life resulting in improved quality of life.

키워드

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