• 가정∙방문간호학회지
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• 제7권1호
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• pp.83-93
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• 2000

This study was conducted to provide the data for the improvement of cerebral ischemia patient nursing services through the investigation of burden and hospital service satisfaction by family caregivers who were nursing the cerebral ischemia inpatients. The study subjects consisted of 125 family caregivers who were enrolled in four university hospitals with over 300 beds and one Chinese medicine hospital with over 100 beds. The Data were collected from all of the personal subjects using standardized questionnaires by interview from March 1 to March 30 in 2000. Data were analyzed by using t-test, ANOVA. Scheffe's multiple comparison, and Pearson's Correlation Coefficients. The results were as follows: 1. The mean score of burden felt by family caregivers who were nursing the stroke patient was 2.18. In relation to the characteristics of patients, higher scores were shown in male patients who were over 80 years old, and patients who had from 4 to 12 days care giving, over three month duration of admission, from one month to three month duration of illness. The burden felt by family caregivers revealed higher score of dependency in the Activities of Daily Living. 2. The mean score of hospital service satisfaction perceived by family caregivers was 3.35. The highest hospital service satisfaction score was shown in female caregivers, and caregivers whose patients graduated from element school, and treatment method was Chinese medicine, the duration of admission was under 1 month. As a result. the family caregivers' burden was seemed to be high when the patients who were old, male and as care giving time, duration of admission, duration of illness were getting longer. In conclution, hospital service satisfaction was good, but the satisfaction was tend to decrease that family caregivers who were male, higher education background and duration of patients' admission getting longer.

• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.9-19
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• 2002

본 연구는 뇌졸중 발병 전과 후의 건강관련행위를 비교 분석하여 뇌졸중 발병전후의 건강행위 변화정도를 파악하고, 뇌졸중 환자의 건강행위 변화와 관련된 요인을 분석하여, 뇌졸중의 재발에 관련된 위험요인을 제거하거나, 감소시킬 수 있는 보건교육 프로그램을 개발하는 기초자료를 제공하고자 수행되었다. 자료는 1999년 7월 1일부터 8월 30일까지 경주시 보건소에 등록된 뇌졸중 환자 88명을 대상으로 수집하였으며, 구조화된 설문지를 이용하여 면접조사 하였다. 설문 조사 내용은 일반적 특성, 건강관련행위, 가족관련 특성, 뇌졸중 발병전후 건강행태 등이었다. 대상자의 흡연율은 51.1%에서 발병 후 25.0%로 감소하였고, 음주율은 52.3%에서 발병 후 17.0%로 감소하였고, 일일 흡연량은 뇌졸중 발병 전 20.1개피에서 발병 후 14.9개피로 유의하게 감소하였고, 1회 음주량은 92.4ml에서 23.7ml로 유의하게 감소하였다. 성별에 따른 흡연율은 남자의 흡연율이 뇌졸중 발병전 70.2%에서 발병 후 31.6%로 유의하게 감소하였으나, 발병 후에도 흡연율이 31.6%로 높았고, 여자의 흡연율은 뇌졸중 발병 전 16.1%에서 발병 후 12.9%로 감소하였다. 뇌졸중 발병 환자들의 건강관련행위 변화정도를 관찰한 결과 흡연율, 음주율, 규칙적 식사율 등의 행위 변화가 배우자가 있는 군, 재발방지 교육을 받은 군에서 높게 나타났다. 뇌졸중 환자들에게는 금연, 절주, 저지방 식이, 운동 및 규칙적인 식사에 대한 집중적인 교육이 필요할 것으로 생각되며 뇌졸중 환자를 대상으로 한 구체적이고 지속적인 보건교육프로그램이 개발되고, 교육이 제공되어야 할 것으로 생각된다.

• Journal of Korean Biological Nursing Science
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• 제19권2호
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• pp.113-122
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• 2017

Purpose: The purpose of this study was to identify influencing factors on rehabilitation adherence in stroke patients. Methods: This study was a descriptive survey. A structured questionnaire was used for face-to-face interviews with a convenient sample of 192 subjects, who were admitted in 5 rehabilitation hospitals located in G metropolitan city. Results: The score of rehabilitation motivation in the subjects was a mean of $2.04{\pm}0.35$, self-efficacy $6.22{\pm}2.32$, family support $3.40{\pm}0.82$ and rehabilitation adherence $3.08{\pm}0.41$. The rehabilitation adherence was a statistically significant difference according to the education level (F= 3.40, p= .035), marital status (F= 4.04, p= .019), number of personal insurance policies (K= 9.80, p= .020), location of paresis (F= 2.72, p= .046), and status of current smoking (M = 657.00, p= .001). There was significant correlation among degree of rehabilitation adherence, rehabilitation motivation (r= .30, p< .001), self-efficacy (r= .14, p= .046) and family support (r= .18, p= .011). Rehabilitation motivation (${\beta}=0.19$, p= .007), self-efficacy (${\beta}=0.14$, p= .035), marital status (${\beta}=0.14$, p= .038), number of personal insurance policies (${\beta}=-0.15$, p= .045) and location of paresis(${\beta}=-0.15$, p= .028) were identified as significant predictors. This model explained 22.6% of variance in rehabilitation adherence (F= 5.92, p< .001). Conclusion: There is a need to develop an effective intervention for rehabilitation adherence improvement considering the identified variables in this study.

• 혜화의학회지
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• 제6권1호
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• pp.555-566
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• 1997

This study was undertaken to identify the degree of burden and depression according to level of self-care activity and variables to which affect that in family caregivers of patients with stroke. The data were collected from October 23th to November 20th, 1995 The subjects in this study were 80 caregivers, that is, one family member and 80 patients with stroke who were hospitalized in one oriental medicine hospital in D city. The questionnaires consisted of questions regarding burden(13 items, 6 point scale), depression(20 items, 4 point scale), and self-care activity(15 items, 5 point sacle) Data were analyzed using percentages, means, t-test and ANOVA with the SAS program. The results of this study are as follows: 1) The mean score for client's self-care activity was 2.58. The highest score of the self-care activity item was 'returning'(M=3.604), and the lowest score of the self-care activity item was 'shower or tubbathing'(M=1.925). 2) the degrees of self-care activity according to the general characteristics of patients were tested. It was significantly different by sex(P<0.01), occupation(P<0.05), and relationships with patients(P<0.05). That is, the degree of self-care activity was higher in men than that of women, and caregiver with job than caregiver without that. In the case that caregiver was a patient's spouse, the degree of self-care activity was higher than other case. 3) The score for family caregiver's burden was higher than the mid level for the 13 items and caregiver's depression was relatively low. 4) According to the degree of self-care activity, the group was divided to 3, that is, A( 15-33), B(34-56), and C(57-75). The score of total burden was the highest in group A(M=55.257) and the lowest in group C(M=51.928), but there were no statistically significant differences between groups. The score of objective burden was the highest in group A(M=30.400), and the lowest in group C(M=25.214), and there were statistically significant differences between groups. The score of subjective burden was the highest in group B(M=26.000) and the lowest in group A(M=24.783), but there were no statistically significant differences between groups. The degree of depression was the highest in group A(M=44.750) and the lowest in group C(M=40.751), but there were no statistically significant differences between groups.

• 대한치과마취과학회지
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• 제3권1호
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• pp.34-37
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• 2003

Postoperative stroke is uncommon even in elderly patients, who have a higher incidence of all types of postoperative complications. The mechanism of postoperative stroke is not certain, but can be explained by intravascular clottings originated from thrombus or embolus or by intracranial hemorrhage. In a 66-year-old male patient with current hypertension medication, who underwent both neck dissection for malignancy metastasis under general anesthesia, the left hemiparesis and delayed emergency were found postoperatively. After transferred to intensive care unit, he got the thrombolytic therapy and then the therapies to decrease the swelling of the brain on the diagnosis of cerebral infarction in the vascular distribution of the middle cerebral artery. A brain MRI definitely showed the midline deviation to the left of the right brain hemisphere due to the progressing edematous changes. As he got worse, the emergency neurosurgical operation was proposed but rejected by his family. He died at postoperative 3 days. In this hypertensive patient. perioperative stroke could be originated from the surgical stimuli on major vessels, which were inevitable in neck dissection during the operation. We report this case of the postoperative stroke, which could be highly possible to be associated with extensive head and neck surgery.

• 기본간호학회지
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• 제8권1호
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• pp.81-94
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• 2001

The purpose of this study was to identify levels of activity of daily living, self-efficacy. stroke specific quality of life and need for self-help management program for patients with hemiplegia in the home. Data were collected from June to November, 2000 and subjects were 88 poststroke patients who lived in Seoul and Kyunggi-do. The questionnaire consisted of 5 scales: activities of daily living, self-efficacy, stroke specific qulaity of life and need for a self-help management program. Data were analyzed using frequencies, percent, paired t-test, and Pearson's correlation coefficient with the SAS(version 6.12) program. The results are as follows ; 1) Most of subjects were Partially independent in ADL, but they needed assist once to do dressing, bathing meal preparation and house keeping work. 2) The mean self-efficacy score was 54.89(range : 1 to 80) and the individual differences were large. 3) Subjects responded that they were satisfied on the stroke specific quality of life scale totaled 65.8%. This value is comparatively low, especially for social role(51.4%), family functioning(58.3%) and mood (62.2%). 4) The highest needs for self-help management programs were for physical therapy, stress management, and range of motion exercise and the lowest needs were for elimination management and training, family counseling, and speech therapy. 5) On the demographic variables, sex showed significant differences for the dependent variables. Females had higher scores than males for IADL, self-efficacy, stroke-specific quality of life, and need for self-help management. 6) Age had high negative correlation with ADL, self-efficacy and stroke specific quality of life. Age was also correlated with need for self-help management. In conclusion, there was a high correlation for ADL, Self-efficacy and Quality of life in poststroke patients of home. The patient with a stroke also had a strong need for self-help management programs especially physical therapy and stress management. Therefore rehabilitation programs based on self-efficacy enhancement need to be developed in order to promote independent living for patients with hemiplegia.

• 지역사회간호학회지
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• 제9권2호
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• pp.362-373
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• 1998

This study was designed and undertaken to identify the degree of burden of family caregivers for patients who had a stroke as the burden is related to the ADL of the patients. The data were collected from October 3rd, 1997 to March 20th, 1998. The subjects in this study were 126 caregivers as family members and 126 patients with strokes who were hospitalized in two oriental medicine hospitals and four general hospitals located in Taegue and Pusan City. The questionnaires consisted of questions regarding burden(25 items) of caregivers and ADL (25 items) of patients with strokes. Data were analyzed using percentages, mean, t - test and ANOV A done with the SPSS program. The results of this study were as follows: 1. The score for family caregiver's burden was higher than the middle score. 2. The family caregivers' age had statistically significant differences in the degree of burden. 3. The age and sex of patients affected the burden of caregivers significantly. That is, caregivers felt more of a burden when caring for the patient group in their sixties than in any other age group and female patients created more of a burden than male patients. 4. There was a statistically significant difference in the degree of caregiver burden according to the level of patient ADL.

• 대한지역사회작업치료학회지
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• 제4권1호
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• pp.1-10
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• 2014

목적 : 본 연구의 목적은 지역사회와 시설에 거주하는 뇌졸중 환자의 시간 사용과 삶의 질을 비교 분석하고자 한다. 연구방법 : 연구 대상은 요양병원에 입원 중이거나 외래로 재활치료 중인 뇌졸중 환자 74명을 대상으로 하였다. 일반적 특성, 작업 설문지(Occupational Questionnaire: OQ), 뇌졸중 환자 삶의 질(Stroke Specific Quality of Life: SS-QOL) 평가를 통해 조사하였고, 대상자 선정 기준에서 부적합한 8명을 제외한 총 66명을 대상으로 비교 분석하였다. 결론 : 거주 환경에 따른 시간 사용을 비교 분석한 결과 일상생활(p<.05), 휴식(p<.05)에서 유의한 차이가 있는 것으로 분석 되었다. 또한 삶의 질은 가족(p<.05), 자조관리(p<.05), 사회적 역할(p<.05)에서 유의한 차이가 있는 것으로 분석되었다. 결론 : 지역사회 거주 뇌졸중 환자가 시설 거주 뇌졸중 환자보다 일상생활과 휴식에 소비되어지는 시간을 효율적으로 사용을 하였고, 삶의 질 또한 높은 것으로 나탔다.

• 대한가정학회지
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• 제29권3호
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• pp.85-98
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• 1991

To investigate dietary habits and health and nutritional status of the elderly with cerebrovascular disease(CVD), 31 hospitalized patients and 28 old people who had experienced stroke and were living at home were interviewed for the dietary habits and drinking and smoking habits. Their blood pressure and triceps skinfold thickness were measured and biochemical assessment of blood samples were conducted. The results were compared with those from 30 healthy elderly. Ca Index reflecting ca intake and intake of dietary fiber were significantly lower in the patient elderly groups than in the healthy elderly. Cholesterol intakes were not significantly different among the groups. Although salt intakes were almost similar among the groups, patient elderly tended to like salty taste as compared to the healthy elderly. Systolic and diastolic blood pressures of the patient elderly were significantly higher than those of the healthy elderly. Triceps skinfold thickness and serum total protein and albumin were significantly lower in patient groups than the healthy elderly. Serum cholesterol and hemoglobin concentrations were not different among groups. Among the above variables only Ca index was inversely correlated with blood pressure significantly.

• 기본간호학회지
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• 제16권3호
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• pp.272-281
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• 2009

Purposes: The purposes of this study were to identify factors related to burden and well-being in primary caregivers of patients who have had a stroke and examine the correlation between burden and well-being of the caregivers. Methods: Between April 2006 to June 2007 data were collected using self-report questionnaires and interviews with 85 primary caregivers of stroke patients in C University Hospital. Data were analyzed using t-test, ANOVA, Duncan test and Pearson's correlation with SPSSWIN 15.0. Results: Factors related to burden of primary caregivers were sex and activities of daily living of the patients, and age, education level and satisfaction with income of the caregivers. The factors related to well-being of primary caregivers were sex of patients, and age and education level of caregivers as well as cohabitation with the patient. A negative correlation was found between burden and well-being of the caregivers (r= -.393, p<.001). Conclusion: These results indicate a need to develop a nursing intervention program for caregivers and education program for other family members to reduce caregiver burden. These programs should lead to improvements in the well-being of the caregiver.