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http://dx.doi.org/10.15268/ksim.2015.3.2.079

A Study on the Activities of Daily Living and Life Quality of Stroke Patients after the Client-centered Occupational Therapy Intervention According to the Periods of its Outbreak  

Jang, Chel (Dept. of Occupational Therapy, Kyungnam College Information & Technology)
Song, Minok (Dept. of Occupational Therapy, Kyungnam College Information & Technology)
Sa, Gongsang (Dept. of Occupational Therapy, Kyungnam College Information & Technology)
Byeon, Seungbae (Dept. of Occupational Therapy, Kyungnam College Information & Technology)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.3, no.2, 2015 , pp. 79-87 More about this Journal
Abstract
Purpose: This study was conducted to provide occupational performance evaluated by stroke patients themselves as an intervention according to the periods of its outbreak and examine the effects of it on their activities of daily living and life quality by using the Canadian Occupational Performance Measure (COPM). Method: The subjects of this research were divided into nine persons for the experimental group receiving the client-centered occupational therapy intervention and another nine for the control group getting the conventional occupational therapy intervention. And the intervention was performed for 30 minutes, three times a week, for total eight weeks. The level of activities of daily living was evaluated by the Functional Independence Measure (FIM), and life quality was tested by using SS-QOL. Results: First, about the difference of change in the FIM points of the two groups, there was statistically significant difference in Mauchly's sphericity verification (p<.05). Second, about the difference of change in the SS-QOL points of the two groups, there was statistically significant difference in Mauchly's sphericity verification (p<.05). Third, regarding the coefficient of difference in the change of FIM and SS-QOL points according to the two groups, there existed statistically significant correlation in all the evaluations of before, in the middle of, and after the FIM points and also before, in the middle of, and after the SS-QOL points (p<.05). Conclusion: With the findings of this research, we can see that the client-centered occupational therapy training group shows more improved activities of daily living and life quality than the conventional occupational therapy training group. Therefore, it is expected that the client-centered occupational therapy training will be applied usefully to clinical situations as an intervention to improve stroke patients' activities of daily living as well as life quality.
Keywords
ADL; COPM; SS-QOL; FIM;
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  • Reference
1 강대혁(2000). 작업과학(Occupational Science)에 대한 이해. 대한작업치료학회지, 8(1), 121-127.
2 강대혁, 노종수, 지석연 등(2005). 캐나다작업수행측정 (COPM)과 운동처리기술평가(AMPS)의 상관관계: 준비연구. 대한작업치료학회지, 13(1), 25-35.
3 문정인(2004). SS-QOL척도를 이용한 뇌졸중 환자의 삶의 질 요인에 관한 연구. 대구대학교 재활과학대학원, 석사학위 논문.
4 박종한, 권용철(1989). 노인용 한국판 Mini-Mental State Examination (MMSE-K) 의 표준화 연구 : - 제1편 : MMSE-K의 개발. 대한신경정신의학회지, 28(1), 125-135.
5 임선옥(2002). 재가 뇌졸중 환자의 삶의 질에 관한 구조 모형. 경희대학교 대학원, 박사학위 논문.
6 조복희(1998). 뇌졸중 환자의 가족기능에 영향을 미치는 요인 분석. 재활간호학회지, 1(1), 1-14.
7 통계청(2008). 2008년 사망 및 사망원인 통계결과.
8 한승훈(2007). 재활의학과 외래를 방문한 만성질환자의 건강 관련 삶의 질. 한양대학교 대학원, 미간행 박사학위 청구논문.
9 한태륜, 김진호, 성덕현 등(1992). 뇌졸중 환자에 있어서 Mini-Mental State 검사와 기능적 회복의 상관관계에 대한연구. 대한재활의학회지, 16(2), 118-122.
10 함미영, 최경숙, 류은정(2000). 뇌졸중에 관한 국내 간호학 논문의 분석. 재활간호학회지, 3(2), 154-168.
11 AOTA(2008). Occupational therapy practice framework: domain and process 2nd ed, Am J Occup Ther, 56(6), 609-639.   DOI
12 Burckhardt CS(1985). The impact of arthritis on quality of life. Nurs Research, 34(1), 11-15.
13 Carpenter L, Baker GA, Tyldesley B(2001). The use of the Canadian Occupational Performance Measure as an outcome of a Pain Management Program. Canad J Occup Ther, 68(1), 16-22.   DOI   ScienceOn
14 Creek J(1990). The knowledge base of occupational therapy in occupational therapy and mental health. New York, Churchill Livingstone.
15 Folstein MF, Folstein SE, McHugh PR(1975). "Mini-mental state" - A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 12(3), 189-198.   DOI   ScienceOn
16 Geotter W(1986). Nursing diagnosis and interventions with the acute patient. Nurs Clin North Am, 21(20), 309-319.
17 King RB(1996). Quality of life after stroke. Stroke, 27, 1467-1472.   DOI   ScienceOn
18 Abdel-Moty AR(2002). Occupational therapy: Practice skills for physical dysfunction, edited by L. W. Pedretti, & M. B. Early. Occup Ther Health Care, 16(4), 77-78.   DOI   ScienceOn