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뇌졸중 환자의 인지기능과 신체회복단계가 삶의 질에 미치는 영향

The relationship of cognitive function and physical recovery stage on quality of life in stroke patients

  • 전여일 (삼성본재활의학과의원 ) ;
  • 김상우 (창동인터넷중독예방상담센터 ) ;
  • 이병희 (삼육대학교 물리치료학과 )
  • Yeoil Jeon (Dept. of Physical Therapy, SamSung BoneRehabilitation Clinic) ;
  • Sangwoo Kim (Chang-dong Internet Addiction Prevention Counselling Center) ;
  • Byoung-Hee Lee (Dept. of Physical Therapy, Sahmyook University)
  • 투고 : 2023.10.20
  • 심사 : 2023.12.28
  • 발행 : 2024.09.30

초록

Background: The patients common have side effects of cognitive and function dysfunction after a stroke. According to specific factors which influence quality of life(QoL), the QoL of stroke survivors are impacted resulting from diverse interactions. Therefore, This study aims to suggest that we determines the relationship between cognitive function and stage of physical recovery and the quality of life as well as the degree of recovery by cluster analysis of the relationship between the degree of physical recovery and the quality of life Design: Randomized Methods: The following tests were used in this study to evaluate cognitive function, recovery stages and quality of life respectively: Cognitive function was measured using Korea-Mini Mental State Examination(K-MMSE). For evaluation of recovery stages, Brunnstrom Rrecovery Stage(BRS), quality of life was measured using Stroke Specific -Quality Of Life(SS-QOL). The sample size of this study was calculated using G*Power Version 3.1.9.7 (Franz Faul, University kiel, Germany, 2020). Based on moderate effect size of 0.15, a significance level (α) of 0.05, and power of 0.90 in the two-sided test, the calculation revealed that 88 patients were required for questionnaires. Results: The results of this study showed significant positive correlation(p<0.05). As a result of cluster analysis, in the case of the physical recovery stage, the degree of physical recovery improves from cluster 1 to cluster 3 and in the case of the quality of life, the quality of life improves from cluster 1 to cluster 3. However, it was confirmed that the change in the quality of life of cluster 1 and cluster 2 was not significant. These results show that the degree of physical recovery has a greater impact on the quality of life in the late stages of physical recovery, while the degree of physical recovery does not have a significant effect on the quality of life in the early and mid-term of the physical recovery stage. Conclusion: This study confirms that cognitive function, recovery stages and quality of life have significant correlations, and the recovery status has impacted on quality of life.

키워드

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