The Effect of Physical and Psychological, and Social factors on Health Promotion Behavior among the stroke patients

뇌졸중환자의 신체적, 정신적, 사회적 요인이 건강증진행위에 미치는 효과

The purpose of this study was to investigate relations among the Health Promotion Behavior, Physically, Psychological, and Social factors of the stroke patients. The subjects include the patients that were Stroke was diagnosed and being admitted to hospital. The data of total 223 stroke patients were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and Structural Equation Analysis. As a result, The higher medical support health promotion behavior scores were higher. Health Promotion Behavior had correlations with the subjective health state(r=.56, p=.000), family support (r=.68, p=.000), medical support(r=.65, p=.000), Fatigue(r=.27, p=.004), and behavioral intentions(r=.75, p=.000). Factors Affecting Health Promotion Behaviors of the Stroke patients Physically factors of(${\beta}$=-.156, p=.014), Psychological factors of subjective health(${\beta}$ =.283, p=.001), behavioral intentions((${\beta}$=.362, p=.000), Social factors such as family support(${\beta}$=.219, p=.010), the medical support(${\beta}$=.246, p=.004) was found to be significant influence factors. In conclusion, health promotion behavior in stroke patients is subjective health, behavioral intentions, a family support. The higher medical support health promoting behavior appears score was found to be highly Psychological factors and social factors are important factors in promoting healthy behavior. Therefore, psychosocial personalized approach to maintaining the stroke health promotion, health promotion action program itdaneunde be used as basis for relapse prevention is significant.

본 연구는 신체적, 정신적, 사회적 요인이 뇌졸중환자의 건강증진행위에 미치는 효과를 파악하고자 실시하였다. 연구 대상자는 뇌졸중으로 진단받고 병원에 입원중인 환자 223명이었다. 자료분석은 기술적 통계, t-tset, ANOVA, pearson correlation과 Structural Equation Analysis을 사용하였다. 그 결과 건강증진행위와 상관관계에서는 주관적 건강(r=.56, p=.000), 가족지지(r=.68, p=.000), 의료적 지지(r=.65, p=.000), 피로(r=.27, p=.004), 행위의도(r=.75, p=.000)와 상관관계가 있었다. 뇌졸중환자의 건강증진행위에 영향을 미치는 요인으로는 신체적 요인인 수면(${\beta}$=-.156, p=.014), 정신적 요인인 주관적 건강(${\beta}$ =.283, p=.001), 행위의도(${\beta}$=.362, p=.000), 사회적 요인인 가족지지(${\beta}$=.219, p=.010), 의료적지지(${\beta}$=.246, p=.004)가 유의한 영향요인임을 알 수 있었다. 결론적으로, 뇌졸중환자의 건강증진행위는 수면이 좋을수록, 주관적 건강, 행위의도, 가족지지 의료적 지지가 높을수록 건강증진행위 점수가 높게 나타나 정신적, 사회적 요인이 건강증진행위에 중요한 요인임을 알 수 있었다. 그러므로, 사회심리적인 맞춤형 접근이 뇌졸중환자 건강을 유지, 증진, 재발예방을 위한 건강증진행위 프로그램 기초자료로 활용할 수 있다는데 의의가 있다.