디지털융복합연구 (Journal of Digital Convergence)

  • 제18권3호
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  • Pages.195-205
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  • 2020
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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허혈성 뇌졸중 환자를 위한 조기 인지훈련과 맞춤형 전화코칭 프로그램의 효과

Effectiveness of Early Cognitive Training and Tailored Telephone Coaching Program for Ischemic Stroke

  • 오은영 (꽃동네대학교 간호학과)
  • 투고 : 2019.08.12
  • 심사 : 2020.03.20
  • 발행 : 2020.03.28
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초록

본 연구의 목적은 허혈성 뇌졸중 환자에게 적용된 조기 인지훈련과 맞춤형 전화코칭 프로그램의 효과를 확인하기 위함이다. 연구 대상 총 28명은 실험군(n=15)과 대조군(n=13)에 배정되었다. 실험군에게만 4주간의 인지 훈련과 11회기 맞춤형 전화코칭이 제공되었다. 프로그램의 효과는 우울, 간이정신상태검사, 신경심리검사, 일상생활수행능력에 관한 도구를 이용하여 총 4회(사전, 4주째, 8주째, 12개월째) 측청하였다. 반복측정 분산분석법을 통한 자료 분석 결과 실험군은 대조군에 비해 간이 정신상태검사, 언어기억력 및 집행기능의 유의미한 향상이 나타났다. 특히 일상생활수행과 관련성이 깊은 집행기능의 향상은 괄목할 만한 결과였다. 이는 뇌졸중 후 인지기능의 회복과 독립적인 일상생활을 위해 조기 개입이 매우 중요하며 중·장기적 효과를 위해 주기적인 전화코칭이 함께 이루어져야 함을 시사한다.

The purpose of this study was to investigate the effects of early cognitive training and tailored telephone coaching program for ischemic stroke. Among 28 participants, assigned into the experimental(n=15) and control group(n=13). Only the experimental group was received a 4-week cognitive training and 11 session of tailored telephone coaching. The effect ot the program was evaluated four times(baseline, 4weeks, 8weeks, 12months) using the tool on Depression, Mini Mental State Examination(MMSE), Neuropsychological battery, Activities of Daily Living(ADL). The repeated measures ANOVA showed that the experimental group showed improvement in MMSE, verbal memory and executive function compared to the control group. Especially, the improvement of executive function which is related to ADL was a remarkable result. This suggests that early intervention is very important for recovery cognitive function and independent daliy life after stroke, and periodic telephone coaching should be done together for mid-to long term effects.

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