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

대한지역사회작업치료학회 (Korean Society of Community Based Occupational Therapy Association)
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뇌졸중 노인과 정상 노인의 참여수준 및 삶의 질 비교

Comparison of Level of Participation and Quality of Life in Stroke Patients and the Healthy Elderly

  • 이주연 (동서대학교 대학원 보건과학과) ;
  • 이춘엽 (가야대학교 작업치료학과) ;
  • 윤태형 (동서대학교 작업치료학과, 동서대학교 고령자케어연구센터) ;
  • 김태훈 (동서대학교 작업치료학과, 동서대학교 고령자케어연구센터)
  • Lee, Juyeon (Dept. of Health Science, The Graduate School, Dongseo University) ;
  • Lee, Chun-Yeop (Dept. of Occupational Therapy, Kaya University) ;
  • Yoon, Tae-Hyung (Dept. of Occupational Therapy & Senior Care Research Center, Dongseo University) ;
  • Kim, Tae-Hoon (Dept. of Occupational Therapy & Senior Care Research Center, Dongseo University)
  • 투고 : 2019.03.07
  • 심사 : 2019.04.20
  • 발행 : 2019.04.30
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초록

목적 : 본 연구는 뇌졸중 노인과 정상 노인의 참여수준(수단적 일상생활활동, 여가활동, 사회활동) 및 삶의 질을 비교하고, 뇌졸중 노인 및 정상 노인에서 각각 참여수준과 삶의 질의 상관관계를 분석하고자 하였다. 연구 방법 : 뇌졸중 노인 25명과 정상 노인 25명을 대상으로 한국형 노인활동분류카드를 사용하여 활동 참여수준을 평가하고, SF-36을 사용하여 삶의 질을 평가하였다. 결과 : 뇌졸중 노인과 정상 노인은 참여활동보유율, 수단적 일상생활활동 점수, 여가활동 점수, 사회활동 점수, SF-36 점수에서 유의한 차이가 있었다. 뇌졸중 노인에서는 한국형 활동분류카드의 참여활동보유율, 수단적 일상생활활동점수는 SF-36 점수와 유의한 양의 상관관계가 있었으며, 여가활동과 사회활동은 SF-36 점수와 유의한 상관관계를 보이지 않았다. 정상 노인에서는 한국형 활동분류카드의 참여활동보유율, 여가활동 점수, 사회활동 점수와 SF-36 점수는 유의한 양의 상관관계가 있었으며, 수단적 일상생활활동과 SF-36 점수는 유의한 상관관계가 나타나지 않았다. 결론 : 뇌졸중 노인과 정상 노인의 활동 참여수준과 삶의 질은 차이가 있었으며, 뇌졸중 노인과 정상 노인 모두 활동참여수준이 높을수록 삶의 질이 높은 것으로 나타났다. 따라서 뇌졸중 및 정상 노인의 활동 참여수준을 향상시키는 중재는 삶의 질 향상에 도움이 될 것으로 사료된다.

Objectives : This study was to compare the level of activity participation(instrumental activities, leisure activities, and social activities of living) and quality of life for elderly people with and without stroke, and to analyze the correlation between the level of activity participation and quality of life in their scores on measures. Methods : The Korean Activity Card Sort(K-ACS) was conducted among 25 elderly people with stroke and 25 elderly people without stroke living in Busan, and their level of activity participation and quality of life were evaluated using the The Medical Outcome Study 36-item Short Form Health Survey(SF-36). Results : Elderly people with and without stroke both showed a significant difference in the retained level of activity participation, instrumental activities of daily living, leisure activities, social activities, and the SF-36 score. The scores of the elderly people with stroke for the retained level of activity participation and instrumental activities of daily living in the Korean Activity Card Sort had a significant correlation with the SF-36 score, whereas leisure activities and social activities did not show a significant correlation with the SF-36 score. Among the elderly people without stroke, there was a significant correlation between scores for the retained level of activity participation, leisure activities, and social activities of living in the Korean Activity Card Sort and the SF-36 score, but there was no significant correlation between instrumental activities of daily living and the SF-36 score. Conclusion : The level of activity participation and quality of life could be considered to correlate with one another, and an intervention to improve the activity participation of elderly people with stroke would help to enhance their quality of life.

키워드

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