한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제20권3호
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  • Pages.176-187
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  • 2019
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  • 1975-4701(pISSN)
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  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
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재활치료 중인 뇌졸중 환자의 자아존중감, 재활동기가 삶의 질에 미치는 영향

Influences of Self-esteem, Rehabilitation Motivation on Quality of Life in Stroke Pateints with Rehabilitation Therapy

  • 안은서 (대구보건대학교) ;
  • 서순림 (경북대학교 간호대학) ;
  • 김은희 (대구가톨릭대학교 간호대학&간호과학연구소)
  • An, Eun-Seo (Daegu Health College) ;
  • Suh, Soon-Rim (College of Nursing, Kyungpook National University) ;
  • Kim, Eun-Hee (College of Nursing, Research Institute of Nursing Science, Daegu Catholic University)
  • 투고 : 2018.12.18
  • 심사 : 2019.03.08
  • 발행 : 2019.03.31
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초록

본 논문은 재활전문기관에서 치료 중인 뇌졸중 환자의 자아존중감, 재활동기와 삶의 질의 정도를 조사하고, 제 변수들의 상관관계 및 삶의 질에 영향을 미치는 요인을 파악하기 위해 시도되었다. 2016년 2월 22일부터 3월 20일까지 뇌졸중으로 입원 또는 통원 치료중인 환자 216명을 대상으로 자가보고형 설문지를 사용하여 자료수집을 하였으며, 수집된 자료는 SPSS WIN 21.0(SPSS Inc., Chicago, IL, USA) 프로그램을 이용하여 분석하였다. 연구결과, 대상자의 자아존중감은 평균 3.09/5점, 재활동기는 3.60/5점, 그리고 삶의 질은 2.95/5점이었으며, 삶의 질은 자아존중감(r=.45, p<.001), 재활동기(r=.27, p<.001)와 유의한 양의 상관관계를 나타내었다. 삶의 질에 대한 예측변수로 삶의 질과 통계적으로 유의한 차이를 나타낸 일반적 특성인 성별, 연령, 교육, 간병인 유무, 직업유무와 질병 특성인 발병기간, 장애정도, 인지기능 그리고 자아존중감, 재활동기를 예측변수로 분석한 결과, 삶의 질에 대한 설명력은 일반적 특성, 질병 특성과 자아존중감, 재활동기를 모두 포함한 모형 3에서 43.6%(F=14.87 p=<.001)였으며, 회귀분석 결과 삶의 질에 유의한 영향요인은 자아존중감, 발병기간, 장애정도(의존적), 인지기능이었다. 장기간 재활치료를 필요로 하는 뇌졸중 환자의 삶의 질에 자아존중감이 중요한 요인을 알 수 있었으며, 자아존중감의 증진으로 성공적인 재활을 도모함으로써 뇌졸중 환자의 삶의 질을 향상시킬 수 있는 프로그램의 개발과 적용이 요구된다.

This study was conducted to investigate the levels of self-esteem, rehabilitation motivation and quality of life and to identify the influencing factors of quality of life in stroke patients who were receiving rehabilitation therapy. Data were collected from February 22 to March 20, 2016 using self-administered questionares and the data from 216 participants were analyzed using SPSS WIN 21.0 program(SPSS Inc., Chicago, IL, USA). The results of this study were as follows: the mean self-esteem was 3.09/5, rehabilitation motivation was 3.60/5, and quality of life was 2.95/5. Sex, age, education, caregiver, occupation, duration after attack, the degree of disability(dependence), and cognitive function were significantly associated with quality of life. There was positive correlation between quality of life and self-esteem(r=.45, p<.001) and there was positive correlation between quality of life and rehabilitation motivation(r=.27, p<.001). Variables such as self-esteem, duration after attack, the degree of disability(dependence), and cognitive function explained 43.6%(F=14.87 p=<.001) of the variance in quality of life in model 3. Consequently, it is needed to develop and apply nursing intervention and programs for improving self-esteem during rehabilitation in order to improve quality of life of stroke patients.

키워드

Table 1. General and disease related characteristics of the subjects

SHGSCZ_2019_v20n3_176_t0001.png 이미지

Table 2. Degree of Self-esteem, Rehabilitation Motivation and Quality of Life

SHGSCZ_2019_v20n3_176_t0002.png 이미지

Table 3. Differences of Self-esteem, Rehabilitation Motivation and Quality of Life by General and disease related characteristics

SHGSCZ_2019_v20n3_176_t0003.png 이미지

Table 4. Correlation among Self-esteem, Rehabilitation Motivation and Quality of Life

SHGSCZ_2019_v20n3_176_t0004.png 이미지

Table 5. Influencing factors in Quality of life of subjects

SHGSCZ_2019_v20n3_176_t0005.png 이미지

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