성인간호학회지 (Korean Journal of Adult Nursing)

  • 제22권1호
  • /
  • Pages.60-69
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  • 2010
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  • 1225-4886(pISSN)
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  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
권호 표지

파킨슨병 환자의 극복력과 영향요인

Resilience in Patients with Parkinson's Disease

  • 김성렬 (서울아산병원 신경과.고려대학교 간호대학) ;
  • 정선주 (서울아산병원 신경과) ;
  • 신나미 (고려대학교 간호대학) ;
  • 신혜원 (서울아산병원 신경과) ;
  • 김미선 (서울아산병원 신경과) ;
  • 이숙자 (고려대학교 간호대학)
  • 투고 : 2009.11.17
  • 심사 : 2010.02.15
  • 발행 : 2010.02.28
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초록

Purpose: The aim of this study was to investigate the level of resilience and related factors in patients with Parkinson's disease (PD) in Korea. Methods: Data were obtained from 148 patients using the Resilience Scale (RS), Beck's Depression Inventory (BDI), and Spielberger's Anxiety Inventory (AI). Results: The mean scores of the RS, BDI, and AI were $127.7{\pm}21.6$, $12.9{\pm}9.3$, and $41.9{\pm}11.1$, respectively. The RS score was strongly correlated with the BDI score (r=-.531, p<.001) and the AI (r=-.572, p<.001). The resilience was significantly revealed by household income (F=4.002, p=.009) and presence of a hobby (t=-3.300, p=.001). In addition, resilience was significantly correlated with age of disease onset (r=.164, p=.046), years of living with PD (r=-.262, p=.001), and the length of treatment with levodopa (r=-.283, p<.001). From the stepwise multiple regression analysis, the most important factors related to the RS score were the AI score, household income, and length of treatment with levodopa. Conclusion: Understanding these factors is essential for developing effective interventions to improve resilience in patients with PD.

키워드

참고문헌

  1. Adler, C. H. (2005). Nonmotor complication in Parkinson's disease. Movement Disorder, 20, 23-29. https://doi.org/10.1002/mds.20460
  2. Beck, A. T. (1967). Depression: clinical, experimental and theoretical aspects. New York: Harper & Row.
  3. Calne, S. M., Lidstone, S. C., & Kumar, A. (2008). Psychosocial issues in young-onset Parkinson's disease: Current research and challenges. Parkinsonism and related disorders, 14, 143- 150. https://doi.org/10.1016/j.parkreldis.2007.07.012
  4. Foster, J. R. (1997). Successful coping, adaptation and resilience in the elderly: An interpretation of epidemiologic data. Psychiatric Quarterly, 68 (3), 189-219. https://doi.org/10.1023/A:1025432106406
  5. Hardy, S. E., Cancato, J., & Gill, T. M. (2004). Resilience of community dwelling older persons. Journal of American Geriatric Society, 52, 257-262. https://doi.org/10.1111/j.1532-5415.2004.52065.x
  6. Health Insurance Review & Assessment Service (2009). Ministry for health, welfare and family affairs. Retrieved October 26, 2009, from http://www.mw.go.kr
  7. Jankovic, J., & Tolosa, E. (2002). Parkinson's disease & Movemet disorders (4th ed.). LWW.
  8. Jacelon, C. S. (1997). The trait and process of resilience. Journal of advanced Nursing, 25, 123-129. https://doi.org/10.1046/j.1365-2648.1997.1997025123.x
  9. Kim, D. H., & Yoo, I. Y. (2004). Relationship between depression and resilience among children with nephrotic syndrome. Journal of Korean Academy of Nursing, 34(3), 534-40.
  10. Kim, J. T., & Shin, D. K. (1978). A study based on the standardization of the STAI for Korea. New Medical Journal, 21(11), 69-75.
  11. Koplas, P. A., Gans, H. B., Wisely, M. P., Kuchibhatla, M., Cutson, T. M., & Gold, D. T., Taylor, C. T., & Schenkman, M. (1999). Quality of life and Parkinson's disease. Journal of Gerontology, 54, 197-202.
  12. Kwon, Y. C., & Park, J. (1989). Korean version of mini-mental state examination (MMSE-K) part I: Development of the test for the elderly. Journal of the Korean Neuropsychiatric Association, 28 , 125-135.
  13. Lee, E. K. (2005). A study on the factors affecting the cancer patients. Unpublished master's thesis, Chungang University, Seoul.
  14. Lee, Y. H., & Song J. Y. (1991). A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean Journal of Clinical Psychology, 10(1), 98-113.
  15. Olsson, C. A., Bond, L., Burns, J. M., Vella-Brodrick, D. A., & Sawyer, M. (2003). Adolescent resilience: A concept analysis. Journal of adolescence, 26, 1-11. https://doi.org/10.1016/S0140-1971(02)00118-5
  16. Presented by the Parkinson Study Group, Huntington Study Group, Dystonia Study Group, Myoclonus Study Group, Tourette Syndrome Study Group, Cooperative Ataxia Group, and Tremor Research Group (2009). Program: Twenty third annual symposium on etiology, pathogenesis, and treatment of Parkinson's disease and other movement disorders. Movement Disorder, 24(12), 1870-1880. https://doi.org/10.1002/mds.22751
  17. Polk, L. V. (1997). Toward a middle-range theory of resilience. Advances in Nursing Science, 19, 1-13.
  18. Pollack, M. H., Stein, M. B., & Davidson, J. R. T. (2004). New challenges for anxiety disorders: Where treatment, resilience, and economic priority converge. CNS Spectrums, 9(4), 1-10.
  19. Shapiro, E. R. (2002). Chronic illness as a family process: A socialdevelopmental approach to promoting resilience. Psychotherapy, 58(11), 1375-1384.
  20. Shulman, L. M., Taback, R, L., Bean, J., & Weiner, W. J. (2001). Comorbidity of the nonmotor symptoms of Parkinson's disease. Movement Disorder, 16 , 507-510. https://doi.org/10.1002/mds.1099
  21. Sohng, K. Y., Moon, J. S., Lee, K. S., & Choi, D. W. (2007). The development and effects of a self-management program for patients with Parkinson's Disease. Journal of Korean Academy of Nursing, 37(6), 891-901.
  22. Song, Y. S. (2004). Determinants of resilience of the physically disabled at home. Unpublished master's thesis. Kosin University, Pusan.
  23. Spielberger, C. D. (1972). Anxiety on emotional state, anxiety, current trends in theory and research 1. New York: Academic press.
  24. Steinhardt, M., & Dolbier, C. (2008). Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. Journal of American college health, 56(4), 445-453. https://doi.org/10.3200/JACH.56.44.445-454
  25. Vinson, J. A. (2002). Children with asthma: Initial development of the Child Resilience Model: Practice applications of research. Pediatric Nursing, 28, 149-158.
  26. Wagnild, G. M. (2003). Resilience and successful aging; Comparison among low and high income older adults. Journal of Gerontology Nursing, 12, 42-49.
  27. Wagnild, G. M., & Young, H. M. (1993). Development and psychometric evaluation of the Resilience scale. Journal of Nursing Measurement, 1, 165-178.
  28. Walash, F. (1998). Strengthening family resilience. New York: Guilford, 3-27.
  29. Watts, R. L., & Koller, W. C. (1997). Movement disorders: Neurologic principles and practice. McGraw-Hill.
  30. Yoo K. H. (2004). A study on the relationship between mastery and activity of daily life in rheumatoid arthritis patients. The Korean Journal of Rehabilitation Nursing, 7 (2), 207-212.