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http://dx.doi.org/10.5392/JKCA.2022.22.01.591

The Effect of Disability Acceptance and Anxiety on Participation of People with Stroke Living in the Community  

Lim, Young-Myoung (연세대학교 초고령사회 뉴노멀 라이프스타일 연구소)
Ham, Min-Joo (강원대학교 작업치료학과)
Hwang, Ho-Sung (원광대학교 광주한방병원)
Kim, Hee (건양대학교 작업치료학과)
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Abstract
This study examined the participation of the people with stroke living in the community in terms of productivity, leisure, and social domain, and identified the effect on disability acceptance and anxiety. For data collection, from October 2018 to January 2019, data on disability acceptance, anxiety, and participation were collected from 192 people with stroke who used welfare centers and community services. For general characteristics, t-test and one-way ANOVA were used to compare participation according to descriptive statistics and general characteristics. Pearson correlation analysis was used for correlation between variables, and multiple regression analysis was used to identify causality. As the result, factors affecting the productivity of participation were labor(β=.28, p<.001), de-emphasis on disability salience(β=.14, p<.05), compensatory(β=.22, p<.01), and subjective anxiety(β=-.35, p<.05), and the explanatory power was 33%(F=9.44, p<.001). Leisure was expressed as self-satisfaction with disability(β=.18, p<.05) and the compensatory(β=.18, p<.05), and had an explanatory power of 23%(F=6.32, p<.001). Social activity was labor(β=.19, p<.01), and subjective anxiety(β=-.51, p<.05), which showed 23%(F=6.05, p<.001) of explanatory power. This suggests the importance of psychosocial factors for a changed life after the onset of a stroke, and a practical approach is needed to construct and apply programs to improve participation.
Keywords
Acceptance of Disability; Anxiety; Community; Stroke; Participation;
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