The Korean Journal of Rehabilitation Nursing (재활간호학회지)
- Volume 3 Issue 2
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- Pages.196-211
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- 2000
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- 1229-294X(pISSN)
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- 2288-3002(eISSN)
Effects of 5 Weeks Self-Help Management Program on Reducing Depression and Promoting Activity of Daily Livings, Grasping Power, Hope and Self-Efficacy
재가 뇌졸중환자를 위한 5주간의 자조관리프로그램의 효과에 관한 연구
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Kim, Keum-Soon
(College of Nursing, Seoul National University) ;
- Seo, Hyun-Mi (College of Nursing, Seoul National University) ;
- Kim, Eun-Jeong (College of Nursing, Seoul National University) ;
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Jeong, Ihn-Sook
(Clinical Research, Seoul National University Hospital) ;
- Choe, Eun-Jeong (College of Nursing, Seoul National University) ;
- Jeong, Sun-I (College of Nursing, Seoul National University)
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김금순
(서울대학교 간호대학) ;
- 서현미 (서울대학교 간호대학) ;
- 김은정 (서울대학교 간호대학) ;
-
정인숙
(서울대학교병원 임상시험센터) ;
- 최은정 (서울대학교 간호대학) ;
- 정선이 (서울대학교 간호대학)
- Published : 2000.12.30
Abstract
The purpose of this study was to determine the effects of 5 weeks self-help management program on reducing depression, promoting Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings(IADLs), grasping power, hope and self-efficacy for post stroke patients visiting public health care centers in Seoul. This was pre-experimental study, and the subjects were 27 post stroke hemiplegic patients. The program was composed of five sessions and each session had health education on stroke, ROM exercise and recreation. Data were collected from May to November, 2000, and all subjects were asked to complete the Questionnaires, be measured vital signs and grasping power. Data were analyzed with frequency, percent, paired t-test, and Pearson's correlation coefficient using SAS(version 6.12) program. The results were as follows : 1) The scores of ADLs were increased from 27.04 to 28.22 after program, and that was statistically significant(p=.005). 2) The scores of IADLs were increased from 18.70 to 19.78 after program, and that was statistically significant(p=.004). 3) The grasping power of right hand were increased from 21.87kg to 26.93kg after program, and that was statistically significant(p=.002). But the grasping power of left hand were statistically insignificant(p=.919). 4) The scores of depression were decreased from 39.63 to 35.30 after program, and that was statistically significant(p=.030). 5) The scores of hope were increased from 30.89 to 34.15 after program, and that was statistically significant(p=.002). 6) The scores of self-efficacy were increased from 67.70 to 76.37 after program, and that was statistically significant(p=.000). According to the results of this study, the scores of Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings (IADLs), hope, and self-efficacy and the grasping power were improved and depression was reduced in post stroke patients participating in self-help management program. Therefore we recommend to use self-help management programs as a nursing intervention for the post stroke patient.
Keywords