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http://dx.doi.org/10.5953/JMJH.2021.28.2.183

Relationships of Activities of Daily Living and Body Image with Quality of Life in Stroke Patients: Mediating Effects of Interpersonal Relations  

Kim, Minju (College of Nursing, Dong-A University)
Park, Hyomin (College of Nursing, Dong-A University)
Publication Information
Journal of muscle and joint health / v.28, no.2, 2021 , pp. 183-191 More about this Journal
Abstract
Purpose: This study was conducted to identify factors associated with stroke patients' quality of life (QOL) and examine the mediating effects of interpersonal relations in the relationships of activities of daily living (ADL) and body image with QOL. Methods: In this study, 160 stroke patients were recruited from an outpatient clinic of a university hospital and rehabilitation clinic of a long-term care hospital. Participants completed a questionnaire which included sociodemographic characteristics, ADL, body image, interpersonal relation, and QOL. Descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, multiple regression analysis, and process macro mediation analysis were conducted using SPSS. Results: The mean scores were 91.01 (range 6~100) for ADL, 61.19 (range 40~79) for body image, 87.53 (range 29~123) for interpersonal relations, and 186.67 (range 71~243) for QOL. Multiple regression analyses showed that ADL, body image, interpersonal relations, and participation in group activities after stroke were significantly associated with QOL among stroke patients (p<.05). There were no mediating effects of interpersonal relations in the relationships of ADL and body image with QOL (p>.05). Conclusion: This study showed that there is a need for physical, psychological, and social recovery to improve the QOL of stroke patients.
Keywords
Activities of daily living; Body image; Cerebral stroke; Interpersonal relations; Quality of life;
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1 Jung, H. Y., Park, B. K., Shin, H. S., Kang, Y. K., Pyun, S. B., Paik, N. J., et al. (2007). Development of the Korean version of modified barthel index (K-MBI): Multi-center study for subjects with stroke. Journal of the Korean Academy of Rehabilitation Medicine, 31(3), 283-297.
2 Kim, M., & Lee, Y. (2020). Reliability and validity of the Korean version of stroke-specific quality of life questionnaire. The Journal Of Neuroscience Nursing, 53(1), 49-54. https://doi.org/10.1097/JNN.0000000000000560   DOI
3 Moon, S. M. (1980). A study on the effect of human relations training of university students. Journal of Gyeongsang National University, 19(2), 195-204.
4 Lee, K., Lim, S., Kim, K., Kim, K., Kim, Y., Chang, W., et al. (2015). Six-month functional recovery of stroke patients: A multi-time-point study. International Journal of Rehabilitation Research, 38(2), 173-180. https://doi.org/10.1097/MRR.0000000000000108   DOI
5 Shah, S., Vanclay, F., & Cooper, B. (1989). Improving the sensitivity of the barthel index for stroke rehabilitation. Journal of Clinical Epidemiology, 42(8), 703-709. https://doi.org/10.1016/0895-4356(89)90065-6   DOI
6 Sims, N. R., & Muyderman, H. (2010). Mitochondria, oxidative metabolism and cell death in stroke. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Disease, 1802(1), 80-91. https://doi.org/10.1016/j.bbadis.2009.09.003   DOI
7 Suh, M. H., & Choi, S. M. (2010). Structural equation modeling on quality of life in stroke survivors. Journal of Korean Academy of Nursing, 40(4), 533-541. https://doi.org/10.4040/jkan.2010.40.4.533   DOI
8 Takemasa, S., Nakagoshi, R., Murakami, M., Uesugi, M., Inoue, Y., Gotou, M., et al. (2014). Factors affecting quality of life of the homebound elderly hemiparetic stroke patients. Journal of physical therapy science, 26(2), 301-303. https://doi.org/10.1589/jpts.26.301   DOI
9 Yang, Y. O., Kim, M., & Park, K. Y. (2018). Meta-analysis of social psychological factors related to quality of life in stroke patients. Journal of Korean Academy of Community Health Nursing, 29(4), 510-519. https://doi.org/10.12799/jkachn.2018.29.4.510   DOI
10 Williams, L. S., Weinberger, M., Harris, L. E., Clark, D. O., & Biller, J. (1999). Development of a stroke-specific quality of life scale. Stroke, 30(7), 1362-1369. https://doi.org/10.1161/01.STR.30.7.1362   DOI
11 Ahn, J. (1996). A study on body image and self esteem for the hemodialysis patient. Unpublished master's thesis, Ewha Womans University, Seoul.
12 Baek, S. (2014). Factors related to ICF's participation for people with Stroke. Unpublished master's thesis, Daegu University, Gyeongsan.
13 Bolton, M. A., Lobben, I., & Stern, T. A. (2010). The impact of body image on patient care. The Primary Care Companion to the Journal of Clinical Psychiatry, 12(2), 722-734.
14 Chun, S. K. (1995). The social skills training for social adjustment of the schizophrenic patients. Korea Academy of Mental Health & Social Work, 2, 33-50.
15 D'alisa, S., Baudo, S., Mauro, A., & Miscio, G. (2005). How does stroke restrict participation in long-term post-stroke survivors? Acta Neurologica Scandinavica, 112(3), 157-162. https://doi.org/10.1111/j.1600-0404.2005.00466.x   DOI
16 Lee, J., Lee, C. Y., Yoon, T. H., & Kim, T. H. (2019). Comparison of level of participation and quality of life in stroke patients and the healthy elderly. The Journal of Korean Society of Community Based Occupational Therapy, 9(1), 47-56. https://doi.org/10.18598/kcbot.2019.9.1.05   DOI
17 Lee, Y. J., & Oh, E. G. (2014). Body image, self esteem, and health related quality of life in patients with Crohn's disease. Korean Journal of Adult Nursing, 26(4), 383-392. https://doi.org/10.7475/kjan.2014.26.4.383   DOI
18 Manning, M., MacFarlane, A., Hickey, A., & Franklin, S. (2019). Perspectives of people with aphasia post-stroke towards personal recovery and living successfully: A systematic review and thematic synthesis. Plos One, 14(3), e0214200. https://doi.org/10.1371/journal.pone.0214200   DOI
19 Moon, S. K. (2007). A study on social participation of elderly with stroke-related disability: Examining family support and proactive coping as mediators. Journal of the Korean Gerontological Society, 27(3), 563-578.
20 Northcott, S., Moss, B., Harrison, K., & Hilari, K. (2016). A systematic review of the impact of stroke on social support and social networks: Associated factors and patterns of change. Clinical Rehabilitation, 30(8), 811-831. https://doi.org/10.1177/0269215515602136   DOI
21 Park, S. Y., & Koo, S. M. (2020). The effect of body image and self esteem on interpersonal relationship in nursing students. Journal of Convergence for Information Technology, 10(1), 158-168. https://doi.org/10.22156/CS4SMB.2020.10.01.158   DOI
22 Schlein, S., & Guerney, B. (1977). Relationship change scale. SanFrancisco: Jossey-Bass.
23 Do, Y. K. (2014). The study of body image characteristics, self-esteem, and the tendency of interpersonal relations. Journal of Holistic Health Association, 4(2), 11-22.
24 Fitts, W. H., & Warren, W. L. (1996). Tennessee self-concept scale: Second Edition (TSCS:2). Los Angeles: Western Psychological Services.
25 Hilari, K., & Northcott, S. (2017). "Struggling to stay connected": Comparing the social relationships of healthy older people and people with stroke and aphasia. Aphasiology, 31(6), 674-687. https://doi.org/10.1080/02687038.2016.1218436   DOI
26 Hong, M. S., Nam, M. R., Lee, J. H., & Jeong, K. I. (2006). Relationship between physical disability, cognitive disorder and body image in stroke patients. The Korean Journal of Rehabilitation Nursing, 9(1), 34-41.
27 Kim, J. Y., Kang, K., Kang, J., Koo, J., Kim, D. H., Kim, B. J., et al. (2019). Executive summary of stroke statistics in korea 2018: A report from the epidemiology research council of the Korean Stroke Society. Journal of Stroke, 21(1), 42-59. https://doi.org/10.5853/jos.2018.03125   DOI
28 Kim, Y. J., & Kim, K. S. (2004). Body image, self esteem and quality of life in grown-up congenital heart patients. The Korean Journal of Rehabilitation Nursing, 7(2), 127-139.
29 Leach, M. J., Gall, S. L., Dewey, H. M., Macdonell, R. A., & Thrift, A. G. (2011). Factors associated with quality of life in 7-year survivors of stroke. Journal of Neurology, Neurosurgery & Psychiatry, 82(12), 1365-1371. https://doi.org/10.1136/jnnp.2010.234765   DOI